Individual
JACQULINE JOAN ELKHAMISY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15830 76TH AVE APT 1C, FRESH MEADOWS, NY 11366-1065
(917) 600-8009
Mailing address
15830 76TH AVE APT 1C, FRESH MEADOWS, NY 11366-1065
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
870205
NY
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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