Individual
JACKELL MARAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-5000
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1197
(718) 918-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
235803
CT
163W00000X
Registered Nurse
704101-1
NY
367500000X
Certified Registered Nurse Anesthetist
142995
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
15517
CT
Other
Enumeration date
05/10/2023
Last updated
03/05/2026
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