Individual
GAIL JACK-MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1723 E 12TH ST, SUITE 5L, BROOKLYN, NY 11229-1069
(718) 339-4000
Mailing address
1723 EAST 12ST, BROOKLYN, NY 11229
(718) 339-4000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008829-1
NY
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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