Jakubowitz, David

Jakubowitz, David is an individual health care provider with primary practice located at 6835 Myrtle Ave , Glendale NY 11385-7234. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jakubowitz, David can be contacted via phone (718) 821-0170.

Contact Information

Primary practice address
6835 Myrtle Ave Glendale NY 11385-7234
Fax: (718) 821-7519
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 050068 New York

Profile Details

NPI number 1326184771
LBN Legal business name Jakubowitz, David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jan 28th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326184771 NPPES
New York MEDICAID 02374909

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