Individual
DR. JEANNETTE JAKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-1229
Mailing address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-1229
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
247832
NY
208000000X
Pediatrics Physician
247832
NY
390200000X
Student in an Organized Health Care Education/Training Program
247832
NY
Other
Enumeration date
05/27/2008
Last updated
10/29/2014
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