Individual provider · Type 1 NPI

Derienne Lynne Jacobowitz

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1659636983 Active

Practice location

358 Saint Marks Pl, 4th Floor
Staten Island, NY 10301-2417

Call (718) 727-3303 Map

Mailing address

28 Homestead Ave
Staten Island, NY 10302-2119

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659636983

Derienne Lynne Jacobowitz's National Provider Identifier is 1659636983, issued on Jul 12, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 12, 2012.