Dwight Sheldon Jack

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NPI Number Detailed Information

Provider Information:

Name:	Dwight Sheldon Jack
Gender:	M
Provider License Number If Given:	548498

NPI Information:

NPI:	1184883365
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/3/2008
Last Update Date:	6/3/2008

Provider Business Mailing Address:

Address:	24123 148TH AVE Rosedale, NY 11422
Phone Number:	7187231083
Fax Number:	7187231083

Provider Business Practice Location Address:

Address:	24123 148TH AVE Rosedale, NY 11422
Phone Number:	7187231083
Fax Number:	7187231083

Provider Taxonomy:

Primary:	163WG0000X
Secondary (if any):
State:	NY

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About Dwight Sheldon Jack

Dwight Sheldon Jack ( DWIGHT SHELDON JACK ) is Definition Registered Nurse Physician in Rosedale, NY. The NPI Number for Dwight Sheldon Jack is 1184883365.

The current location address for Dwight Sheldon Jack is 24123 148TH AVE Rosedale, NY 11422 and the contact number is 7187231083 and fax number is 7187231083. The mailing address for Dwight Sheldon Jack is 24123 148TH AVE Rosedale, NY 11422- 7187231083 (mailing address contact number - 7187231083).

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FAQs:

What is the NPI Number for Dwight Sheldon Jack ?

Answer: The NPI Number for Dwight Sheldon Jack is 1184883365

Where is Dwight Sheldon Jack located?

Answer: Dwight Sheldon Jack is located at 24123 148TH AVE Rosedale, NY 11422.

What is the specialty for Dwight Sheldon Jack ?

Answer: The Specialty of Dwight Sheldon Jack is Definition Registered Nurse Physician.

Are there any online reviews for Dwight Sheldon Jack ?

Answer: Not yet!

Are there any other health care providers in Rosedale, NY?

Answer: Yes, there are given below...

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