Individual
DR. EMILY JACKNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 BAINBRIDGE AVE, CHILDREN'S HOSPITAL AT MONTEFIORE - PEDIATRIC CARDIOLOG, BRONX, NY 10467
(718) 741-2343
Mailing address
161 CLINTON ST, BROOKLYN, NY 11201-4601
(718) 624-8208
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
162865
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01140734
—
NY
Enumeration date
03/07/2006
Last updated
01/13/2012
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