Individual
DR. JESUS MANUEL PICHARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1623 WEIRFIELD ST, RIDGEWOOD, NY 11385-5349
(718) 456-4600
(718) 418-3549
Mailing address
1623 WEIRFIELD ST, RIDGEWOOD, NY 11385-5349
(718) 456-4600
(718) 418-3549
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
188066
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01463212
—
NY
Enumeration date
11/29/2006
Last updated
10/28/2025
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