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1700541562
ALIZA JACOB
NEW YORK, NY
NPI
1700541562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: NY 024315)
Enumeration Date
2021-11-05
Last Update Date
2021-11-05
Business Address
ALIZA JACOB Ph.D.
240 E 38TH ST FL 17
NEW YORK, NY 10016-2708
Phone number: 516-581-6404
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Mailing Address
ALIZA JACOB Ph.D.
14127 70TH AVE APT 2
FLUSHING, NY 11367-2055
Phone number: 516-581-6404
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