SearchNew YorkGeneral Practice Registered Nurse

Dwight Jack, RN

NPI 1184883365 · on the registry since 2008 · sole proprietor

Practice

Address
24123 148th Ave
Rosedale, NY 11422
Phone
(718) 723-1083
Fax
(718) 723-1083
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Registered Nurse
163WG0000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-06-03

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