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Individual

DR. MICHAEL S JAKUBOWSKI

Active
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Individual

DR. MICHAEL S JAKUBOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
127951-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000081679
GHI HMO
01
000405006001
BLUE SHIELD NENY
01
000405006002
BLUE SHIELD NENY
05
00392810
NY
01
040426006659
FIDELIS
01
05106
MVP
01
10000968
CDPHP
01
110160500
US DEPT OF LABOR
01
127951-1
TRICARE NORTH REGION
01
31305
EMPIRE BLUE CROSS
01
33570K
FIDELIS MEDICARE
01
9704570
GHI
01
B18637
AMERICAN PROGRESSIVE TODA
01
CAN1279512
NO FAULT
01
MJ03130510
EMPIRE BLUE CROSS
01
MJ03130520
EMPIRE BLUE CROSS
Enumeration date
08/15/2005
Last updated
01/26/2011
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