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Individual

JACLYN ITZKOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-0780
Mailing address
128 MUNRO AVE, HAZLET TOWNSHIP, NJ 07734-3028
(732) 977-9094

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
025079
NY

Other

Enumeration date
07/01/2020
Last updated
09/16/2020
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