Individual
DAVID M JAKUBOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3132 E TREMONT AVE STE A, BRONX, NY 10461
(718) 583-7736
Mailing address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 299-7295
(718) 299-6797
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
229808
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O2555131
—
NY
Enumeration date
07/26/2005
Last updated
06/27/2018
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