SearchNew York363AS0400X

Dawn Jacques, P.A

NPI 1982895611 · on the registry since 2007 · sole proprietor

Practice

Address
17506 Devonshire Rd
Jamaica, NY 11432
Phone
(917) 892-3022
Clinicians at this address
3

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-08-07

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