Individual
DR. MICHAEL S JAKUBOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711
Mailing address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711
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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