Individual
JACQUELIN EMMANUEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 E 116TH ST, NEW YORK, NY 10029-1150
(212) 828-7700
(212) 828-7800
Mailing address
8432 MIDLAND PKWY, JAMAICA, NY 11432-2219
(718) 658-7116
(212) 828-7800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
135799
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01073192
—
NY
Enumeration date
08/30/2005
Last updated
07/08/2007
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