Individual
ERNST JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
87-59 171ST ST, JAMAICA, NY 11432-4554
(718) 523-2200
(718) 523-2210
Mailing address
87-59 171ST ST, JAMAICA, NY 11432-4554
(718) 523-2200
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
166351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01119286
—
NY
Enumeration date
02/07/2008
Last updated
07/07/2009
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