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Organization
JENNAN COMPREHENSIVE MEDICAL PC
Active
Organization
JENNAN COMPREHENSIVE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE MA (ADMINISTRATOR)
(718) 567-8899
Entity
Organization
Contact information
Practice address
762 59TH ST, BROOKLYN, NY 11220-3936
(718) 567-8899
(718) 765-0383
Mailing address
762 59TH ST, BROOKLYN, NY 11220-3936
(718) 567-8899
(718) 765-0383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02867976
—
NY
Enumeration date
10/04/2006
Last updated
09/29/2009
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