Individual
JOHN ANTHONY JACKALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(516) 579-3500
(516) 579-3802
Mailing address
PO BOX 118, BETHPAGE, NY 11714-0118
(516) 579-3500
(516) 579-3802
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005711
NY
Other
Enumeration date
09/20/2006
Last updated
04/28/2008
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