Individual
DR. MARY DALE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
366 N BROADWAY, SUITE 305, JERICHO, NY 11753-2025
(516) 935-7272
(516) 935-7282
Mailing address
366 N BROADWAY, SUITE 305, JERICHO, NY 11753-2025
(516) 935-7272
(516) 935-7282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
154307
NY
Other
Enumeration date
12/05/2006
Last updated
04/10/2008
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