Individual
DR. JEAN ROBERT HARRY JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2057
(718) 245-2743
(718) 270-1438
Mailing address
26 FOREST CT S, MONMOUTH JUNCTION, NJ 08852-3123
(732) 213-8978
(732) 940-0965
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
184486
NY
Other
Enumeration date
12/14/2005
Last updated
03/27/2015
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