Individual
MICHAEL JEANNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016
(212) 562-4141
Mailing address
462 1ST AVE, NEW YORK, NY 10016
(212) 562-4141
(718) 226-8467
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
320103
NY
Other
Enumeration date
06/20/2019
Last updated
09/12/2024
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