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Organization
ERNST F JEAN MD PC
Active
Organization
ERNST F JEAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNST F JEAN (SOLE PROPRIETOR)
(718) 523-2200
Entity
Organization
Contact information
Practice address
8759 171ST ST, JAMAICA, NY 11432-4554
(718) 523-2200
Mailing address
8759 171ST ST, JAMAICA, NY 11432-4554
(718) 523-2200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
166351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01119286
—
NY
Enumeration date
11/15/2006
Last updated
01/31/2008
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