Individual
JACQUELINE M STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
255 E 98TH ST, BROOKLYN, NY 11212-8817
(718) 240-2644
Mailing address
255 E 98TH ST, BROOKLYN, NY 11212-8817
(718) 240-2644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
240796
NY
Other
Enumeration date
07/10/2006
Last updated
09/28/2012
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