Organization
POMONA PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE HACKELL (PHYSICIAN)
(845) 362-0202
Entity
Organization
Contact information
Practice address
4 MEDICAL PARK DR, SUITE C, POMONA, NY 10970-3516
(845) 362-0202
(845) 362-1347
Mailing address
4 MEDICAL PARK DRIVE, SUITE C, POMONA, NY 10970
(845) 362-0202
(845) 362-1347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
145137
NY
Other
Enumeration date
10/19/2006
Last updated
04/25/2008
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