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Organization
NADJA LOUIS JACQUES NP PC
Active
Organization
NADJA LOUIS JACQUES NP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADJA LOUIS JAQUES (STAFF PHYSICIAN)
(516) 782-6728
Entity
Organization
Contact information
Practice address
1368 NOSTRAND AVE, BROOKLYN, NY 11226-2503
(516) 782-6728
Mailing address
319 SOUTHWOOD CIR, SYOSSET, NY 11791-5715
(516) 782-6728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F336938
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002197
—
NY
Enumeration date
02/16/2016
Last updated
02/16/2016
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