Provider Demographics
NPI:1003247875
Name:DABU, JENNIFER CALMA (DACM,LAC, DIPLAC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:CALMA
Last Name:DABU
Suffix:
Gender:F
Credentials:DACM,LAC, DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-1513
Mailing Address - Country:US
Mailing Address - Phone:585-775-9955
Mailing Address - Fax:
Practice Address - Street 1:3543 WINTON PL
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2864
Practice Address - Country:US
Practice Address - Phone:585-775-9955
Practice Address - Fax:585-475-1393
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-04
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12588171100000X
NY005513-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist