Individual
PATRICIA JACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 BEDFORD AVE APT 4F, BROOKLYN, NY 11226-7079
(718) 650-9303
Mailing address
2500 BEDFORD AVE APT 4F, BROOKLYN, NY 11226-7079
(718) 650-9303
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
1454916
—
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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