Individual
JEAN GARRY LAJEUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
745 64TH STREET, 4TH FLOOR, BROOKLYN, NY 11220
(718) 283-8696
(718) 635-7424
Mailing address
745 64TH STREET, 4TH FLOOR, BROOKLY, NY 11220
(718) 283-8696
(718) 635-7424
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
227093
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02357880
—
NY
Enumeration date
02/09/2006
Last updated
03/27/2017
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