Provider Demographics
NPI:1730435728
Name:JACOBOWITZ, NAVA (BS, MS)
Entity type:Individual
Prefix:MRS
First Name:NAVA
Middle Name:
Last Name:JACOBOWITZ
Suffix:
Gender:F
Credentials:BS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 AVENUE M
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5116
Mailing Address - Country:US
Mailing Address - Phone:718-938-2462
Mailing Address - Fax:
Practice Address - Street 1:726 AVENUE M
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5116
Practice Address - Country:US
Practice Address - Phone:718-938-2462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist