Individual
CECILIA JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
82-68 164TH STREET, QUEENS HOSPITAL CENTER, PAVILION P-452, JAMAICA, NY 11432
(718) 883-2392
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007089
NY
Other
Enumeration date
08/10/2006
Last updated
06/04/2014
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