Individual
MICHELLE LEAH JAKUBOVICS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(917) 589-0246
Mailing address
1046 E 14TH ST APT 3, BROOKLYN, NY 11230-4263
(917) 589-0246
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
I058651
NY
1835P1200X
Pharmacotherapy Pharmacist
Primary
I058651
NY
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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