National Provider Identifier
Clifford Jacobson, MD
Clifford Jacobson, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Rochester, NY and a listed phone number of (585) 292-9619.
Profile Overview
- NPI
- 1316152424
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- May 11, 2007
- Last Updated
- July 08, 2007
Practice Location
- 291 W Squire Dr Apt 5
- Rochester, NY 14623-1740
Phone: (585) 292-9619
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1316152424
- Entity Type
- Individual
- Last Name
- Jacobson
- First Name
- Clifford
- Credential
- MD
- Mailing Street Address
- 291 W Squire Dr Apt 5
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-1740
- Mailing Country
- US
- Mailing Phone
- (585) 292-9619
- Practice Street Address
- 291 W Squire Dr Apt 5
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-1740
- Practice Country
- US
- Practice Phone
- (585) 292-9619
- Enumeration Date
- May 11, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)