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NPI Code Detail

MEDICARE: JAKOB H VON EICHEL MA

MEDICARE:   JAKOB H VON EICHEL  MA
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
1101200000XDrama Therapist

General Provider Information

NPI Number : 1396688925
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAKOB H VON EICHEL MA
Provider Business Mailing Address
First Line : 970 KENT AVE APT 110
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-4475
Country : US
Telephone Number : 347-871-5931
Fax Number :
Provider Business Practice Location Address
First Line : 6704 MYRTLE AVE STE 2080
Second Line :
City : GLENDALE
State : NY
Zip : 11385-7033
Country : US
Telephone Number : 347-871-5931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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