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Individual

JACQUELINE L GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1825 PARK AVE, CLINIC 3, EIGHTH FLOOR, NEW YORK, NY 10035-1641
(212) 774-3230
(212) 987-0484
Mailing address
70 W 95TH ST, APT. 20D, NEW YORK, NY 10025-6721
(917) 412-7148

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010186
NY

Other

Enumeration date
10/15/2007
Last updated
04/13/2010
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