Organization
JACQUELINE F. NOBOA D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE F NOBOA DPM (PODIATRIST)
(718) 548-1988
Entity
Organization
Contact information
Practice address
3898 SEDGWICK AVE, BRONX, NY 10463-4423
(718) 548-1988
Mailing address
3898 SEDGWICK AVE, BRONX, NY 10463-4423
(718) 548-1988
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004510
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000592413
APWU
NY
01
—
0021631
GHI
NY
05
—
01132636
—
NY
01
—
480015944
PALMETTO GBA RAILROAD MCARE
NY
01
—
P787330
0XFORD
NY
Enumeration date
11/01/2016
Last updated
11/01/2016
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