Individual
JACKIE JIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3137
Mailing address
10336 118TH ST # 2F, SOUTH RICHMOND HILL, NY 11419-1920
(917) 254-8517
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
315129
NY
Other
Enumeration date
04/05/2018
Last updated
07/20/2022
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