Individual
DEBRA JAKALOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, APRN, CDE
Contact information
Practice address
5 MEDICAL PARK DRIVE, POMONA, NY 10970
(845) 362-3111
(845) 362-3198
Mailing address
107 BREWERY RD, NEW CITY, NY 10956-6115
(845) 638-2060
(845) 638-2807
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
000344-1
NY
163WD0400X
Diabetes Educator Registered Nurse
Primary
454993
NY
Other
Enumeration date
02/20/2007
Last updated
09/11/2025
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