Henry Jacques
NPI #1316392129 in West Babylon, New York
Provider Information
- NPI Number
- 1316392129
- Entity Type
- Individual
- Name
- Henry Jacques
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 29, 2016
- Last Updated
- Apr 29, 2016
Practice Location
- Address
- 609 ROUTE 109 STE 2B4
- City
- West Babylon
- State
- New York
- ZIP Code
- 11704-5072
- Phone
- (631) 470-3943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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