# DR. MARY MARGARET JACKOWSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154367498
- **Gender:** F
- **Credential:** PHD OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | TUV0049071 | NY | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 07/08/2007