Individual
NICOLE JAKUBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E 41ST ST, NEW YORK, NY 10017-6739
(212) 263-3030
Mailing address
155 E 4TH ST APT 8H, NEW YORK, NY 10009-7352
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311517
NY
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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