Dwight Sheldon Jack, RN

NPI #1184883365 in Rosedale, New York

Provider Information

NPI Number
1184883365
Entity Type
Individual
Name
Dwight Sheldon Jack, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse - General Practice
Credential
RN
Enumeration Date
Jun 3, 2008
Last Updated
Jun 3, 2008

Practice Location

Address
24123 148TH AVE
ZIP Code
11422-3265
Phone
(718) 723-1083

Specialties & Taxonomy Codes

Specialty
Registered Nurse - General PracticeGeneral Practice

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