IndividualActive
Stacy Jacobs, MD
NPI 1801096078 · Body Imaging Physician · New York, NY
Provider details
- NPI number
- 1801096078
- Entity type
- Individual
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 225209 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
233 E 69th St
Apt 8b
New York, NY 10021-5414
Phone: (212) 517-5406
Fax: (212) 535-1564
Approximate (ZIP-level) locationGet directions
Mailing address
233 E 69th St
New York, NY 10021-5414
Registry dates
- Enumerated
- 2007-07-24
- Last updated
- 2014-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.