Individual
DR. JENNIFER M MACKOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1235 FOREST HILL RD # C1, STATEN ISLAND, NY 10314-6314
(718) 987-2273
(718) 987-2277
Mailing address
1235 FOREST HILL RD STE C1, STATEN ISLAND, NY 10314-6314
(718) 987-5934
(718) 987-2277
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011160-1
NY
Other
Enumeration date
10/11/2006
Last updated
03/16/2023
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