Organization
JACQUES MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE CARMEL JACQUES M.D. (PHYSCIAL)
(631) 421-2190
Entity
Organization
Contact information
Practice address
1618 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2418
(631) 421-2190
(631) 421-2695
Mailing address
1618 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2418
(631) 421-2190
(631) 421-2695
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
199373
NY
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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