Search › New York › 103T00000X
Jaclyn Koch, PH.D
NPI 1942614268 · on the registry since 2014 · sole proprietor
Practice
- Address
- 600 E 125th St
New York, NY 10035 - Phone
- (646) 672-5864
- Organisation at this address
- Nys Office Of Mental Health
Nys Office Of Mental Health
Manhattan Psychiatric Center
Manhattan Addiction Treatment CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 89
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TF0200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York