Individual
PAMELA J JAKUBOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1650 SELWYN AVE, BRONX, NY 10457-7626
(718) 960-1234
Mailing address
12 WALWORTH AVE, SCARSDALE, NY 10583-1418
(914) 472-4142
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
220503
NY
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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