Provider Demographics
NPI:1578656641
Name:JAKUBOWSKA-SADOWSKA, KATARZYNA (MD)
Entity Type:Individual
Prefix:DR
First Name:KATARZYNA
Middle Name:
Last Name:JAKUBOWSKA-SADOWSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445-77TH STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3205
Mailing Address - Country:US
Mailing Address - Phone:718-680-4300
Mailing Address - Fax:718-921-5417
Practice Address - Street 1:445-77TH STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3205
Practice Address - Country:US
Practice Address - Phone:718-680-4300
Practice Address - Fax:718-921-5417
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228298174400000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02543135Medicaid
NY537N21Medicare PIN
NY02543135Medicaid