Individual
MS. JOLANTA KATHERINE JAKUBOWSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(646) 983-8860
Mailing address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(646) 983-8860
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00916500
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
652438
NY
363LG0600X
Gerontology Nurse Practitioner
26NJ00916500
NJ
Other
Enumeration date
08/09/2019
Last updated
09/30/2020
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