Individual
JACQUELINE IVERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 FORT HILL DR, LLOYD HARBOR, NY 11743-9768
(201) 417-7765
Mailing address
35 FORT HILL DR, LLOYD HARBOR, NY 11743-9768
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
037230
NY
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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