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Individual
DR. SUSAN HACKER-JAKUS
Active
Individual
DR. SUSAN HACKER-JAKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71115
NY
207RX0202X
Medical Oncology Physician
071115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071115
MEDICAL ONCOLOGY
NY
01
—
1403971
LICENSE
NY
01
—
71115
INTERNAL MEDICINE
NY
Enumeration date
03/28/2007
Last updated
03/07/2023
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