Individual
KETZELA JACOBOWITZ MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 LAKEVILLE RD STE 300, NEW HYDE PARK, NY 11042-1123
(718) 470-3480
Mailing address
410 LAKEVILLE RD STE 300, NEW HYDE PARK, NY 11042-1123
(718) 470-3480
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
62906
MN
2080P0208X
Pediatric Infectious Diseases Physician
Primary
62906
MN
Other
Enumeration date
04/23/2010
Last updated
10/04/2023
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