Search › New York › 207Q00000X
Mark Jacknin, D.O
NPI 1033179338 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4405 Broadway
New York, NY 10040 - Phone
- (212) 740-2020
- Fax
- (646) 666-0280
- Organisation at this address
- Ik Dental
Total Pt Pc
Ik Dental, Pc
Total Medical Pc
City Heights Medical PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 77 Boulevard, Passaic, NJ
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York