Provider Demographics
NPI:1841031093
Name:JACOBOWITZ, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:JACOBOWITZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1434
Mailing Address - Country:US
Mailing Address - Phone:917-620-2252
Mailing Address - Fax:
Practice Address - Street 1:304 MADISON AVE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1434
Practice Address - Country:US
Practice Address - Phone:917-620-2252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies