Organization
ANDREW JACONO MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW ANGELO JACONO M.D. (PHYSICIAN)
(516) 773-4646
Entity
Organization
Contact information
Practice address
440 NORTHERN BLVD, GREAT NECK, NY 11021-4813
(516) 773-4646
(516) 773-1360
Mailing address
440 NORTHERN BLVD, GREAT NECK, NY 11021-4813
(516) 773-4646
(516) 773-1360
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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