Organization
DOVE PEDIATRIC SERVICE
Active
Organization
DOVE PEDIATRIC SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSEMARY M JACKSON M.D. (CEO)
(718) 363-6646
Entity
Organization
Contact information
Practice address
86 E 49TH ST, SUITE G, BROOKLYN, NY 11203-1901
(718) 363-6646
Mailing address
20514 115TH AVE, SAINT ALBANS, NY 11412-2904
(718) 276-9433
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
169649
NY
Other
Enumeration date
03/03/2006
Last updated
08/22/2020
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