Organization
JELKSMEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH SMIGGEN (FINANCE)
(212) 988-3303
Entity
Organization
Contact information
Practice address
875 PARK AVE # 1D, NEW YORK, NY 10021-0341
(212) 988-3621
(212) 988-7984
Mailing address
875 PARK AVE # 1D, NEW YORK, NY 10021-0341
(212) 988-3621
(212) 988-7984
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2007
Last updated
08/27/2011
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