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NPI Code Detail

MEDICARE: RECHAMA JACOBOVITCH MS SPED

MEDICARE:   RECHAMA  JACOBOVITCH  MS SPED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist1925769NY
2103K00000XBehavior Analyst1-12-11565

General Provider Information

NPI Number : 1730441098
Entity Type Code : Individual
Provider Name (Legal Business Name) : RECHAMA JACOBOVITCH MS SPED
Provider Business Mailing Address
First Line : 387 GOLFVIEW LN STE 150
Second Line :
City : HIGHLAND HEIGHTS
State : OH
Zip : 44143-4428
Country : US
Telephone Number : 848-525-3607
Fax Number :
Provider Business Practice Location Address
First Line : 387 GOLFVIEW LN STE 150
Second Line :
City : HIGHLAND HEIGHTS
State : OH
Zip : 44143-4428
Country : US
Telephone Number : 848-525-3607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2012
Last Update Date : 04/12/2022

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Directions to “ RECHAMA JACOBOVITCH MS SPED” Practice Location

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