Individual
DR. JACK KABARITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2118 CONEY ISLAND AVE STE 1, BROOKLYN, NY 11223-2347
(718) 376-1233
(718) 376-0449
Mailing address
2118 CONEY ISLAND AVE STE 1, BROOKLYN, NY 11223-2347
(718) 376-1233
(718) 376-0449
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
223838
NY
208000000X
Pediatrics Physician
Primary
223838
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100525-02
AMERICHOICE OF NY
NY
05
—
02245081
—
NY
01
—
505X71
EMPIRE BLUE CROSS
NY
Enumeration date
07/28/2005
Last updated
10/29/2023
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