Jacobowitz, Susan

Jacobowitz, Susan is an individual health care provider with primary practice located at 5865 52Nd Rd , Woodside NY 11377-7410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Jacobowitz, Susan can be contacted via phone (718) 899-5062.

Contact Information

Primary practice address
5865 52Nd Rd Woodside NY 11377-7410
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 213616-1 New York

Profile Details

NPI number 1306812441
LBN Legal business name Jacobowitz, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1306812441 NPPES
New York Other 144SK1 BLUECROSS BLUESHIELD
New York MEDICAID 01959508 BLUECROSS BLUESHIELD

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