Individual
PETER EDWARD JAKUBOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6054 CAVANAUGH RD, MARCY, NY 13403-2411
(315) 534-0730
Mailing address
443 STONE ST, ONEIDA, NY 13421-1933
(315) 813-2760
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
29554301
NY
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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