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Individual
KRYSTYNA DE JACQ
Active
Individual
KRYSTYNA DE JACQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
401238
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401238
NY
Other
Enumeration date
11/20/2009
Last updated
04/13/2023
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