Individual
PHINEHAS JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
65 LENOX RD APT 3E, BROOKLYN, NY 11226-2365
(585) 967-5290
(347) 625-9847
Mailing address
65 LENOX RD APT 3E, BROOKLYN, NY 11226-2365
(585) 967-5290
(347) 625-9847
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405006-01
NY
Other
Enumeration date
12/19/2023
Last updated
05/02/2025
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