Provider Demographics
NPI:1104435262
Name:YACOBI, EVA (ND)
Entity type:Individual
Prefix:DR
First Name:EVA
Middle Name:
Last Name:YACOBI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 OAK TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-5120
Mailing Address - Country:US
Mailing Address - Phone:917-582-7767
Mailing Address - Fax:
Practice Address - Street 1:13 OAK TRAIL RD
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-5120
Practice Address - Country:US
Practice Address - Phone:917-582-7767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath