Organization
KINGSBORO PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGALIE ST. LOT JACQUES M.D. (ASSISTANT PSYCHIATRIST)
(718) 221-7053
Entity
Organization
Contact information
Practice address
681 CLARKSON AVE, BROOKLYN, NY 11203-2125
(718) 221-7053
Mailing address
31 BRIDGEWATER CT, JACKSON, NJ 08527-4030
(732) 886-3759
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
P25101
NY
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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