Individual
DR. CARL JACKNOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 WEST BROADWAY APT 514, LONGBEACH, NY 11561
(631) 707-6899
Mailing address
25 WEST BROADWAY APT 514, LONGBEACH, NY 11561
(631) 707-6899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T0003266-1
NY
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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