Organization
JOHN JACKALONE DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JACKALONE DPM (OWNER)
(516) 579-3500
Entity
Organization
Contact information
Practice address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(516) 579-3500
(516) 579-3802
Mailing address
PO BOX 118, BETHPAGE, NY 11714-0118
(516) 579-3500
(516) 579-3802
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005711
NY
Other
Enumeration date
01/10/2007
Last updated
04/28/2008
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