Individual
JACQUELINE O'BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1155 NORTHERN BLVD, MANHASSET, NY 11030
(516) 407-4000
Mailing address
1155 NORTHERN BLVD, MANHASSET, NY 11030-3040
(516) 407-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
299490
NY
Other
Enumeration date
04/20/2016
Last updated
10/30/2019
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