Individual
DR. DAVID JAKUBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6835 MYRTLE AVE, GLENDALE, NY 11385-7234
(718) 821-0170
(718) 821-7519
Mailing address
564 CHURCH AVE, WOODMERE, NY 11598
(516) 791-1175
(718) 821-7519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02374909
—
NY
Enumeration date
01/30/2007
Last updated
01/28/2010
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