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Contact Information

PHYLLIS C BEATUS JACOBY, LMSW,ACSW
43 GREENWAY
NEW HYDE PARK, NY11040
 Phone: 516-395-5618
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for PHYLLIS C BEATUS JACOBY · (Female)

NPI Number 1366695553
Status Active
Credentials LMSW,ACSW
Entity Individual
Enumeration date 10/31/2008
Last updated 07/27/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 017-6601
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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