Individual
DR. JENNIFER MCEACHRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-2365
Mailing address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
274346229
NY
207VX0201X
Gynecologic Oncology Physician
Primary
292325
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292325
NYS MEDICAL LICENSE
NY
Enumeration date
07/16/2014
Last updated
07/27/2020
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