Organization
JACQUES DUPERVAL, MD, FICS, FACS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACQUES DUPERVAL M.D (CHIEF FINANCIAL OFFICER)
(718) 783-5168
Entity
Organization
Contact information
Practice address
60 PLAZA STREET EAST, SUITE S-3, BROOKLYN, NY 11238
(718) 783-5168
(718) 783-0408
Mailing address
60 PLAZA STREET EAST, SUITE S-3, BROOKLYN, NY 11238
(718) 783-5168
(718) 783-0408
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
NY
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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