Idy Jacobowitz

NPI #1972852895 in Woodmere, New York

Provider Information

NPI Number: 1972852895
Entity Type: Individual
Name: Idy Jacobowitz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Sep 6, 2012
Last Updated: Sep 6, 2012

Practice Location

Address: 415 WOODMERE BLVD
City: Woodmere
State: New York
ZIP Code: 11598-2049
Phone: (646) 361-4745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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