Jakubowski, Mark

Jakubowski, Mark is an sole proprietor health care provider with primary practice located at 73 Port Ave , Ronkonkoma NY 11779-5929. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jakubowski, Mark can be contacted via phone (631) 647-0113.

Contact Information

Primary practice address
73 Port Ave Ronkonkoma NY 11779-5929
Phone: (631) 647-0113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051153 New York

Profile Details

NPI number 1447654728
LBN Legal business name Jakubowski, Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2014
Last updated Oct 15th, 2014 - about 12 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.

Request for update

Popular Providers