Organization
DAVID JAKUBOWITZ DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JAKUBOWITZ D.D.S. (PRESIDENT)
(718) 648-5500
Entity
Organization
Contact information
Practice address
2939 AVENUE Y, BROOKLYN, NY 11235-1657
(718) 648-5500
(718) 648-5501
Mailing address
2939 AVENUE Y, BROOKLYN, NY 11235-1657
(718) 648-5500
(718) 648-5501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02374909
—
NY
Enumeration date
01/28/2010
Last updated
01/28/2010
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