Individual
DR. JACK KANAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6905 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-3753
(718) 544-8400
(718) 263-5401
Mailing address
6905 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-3753
(718) 544-8400
(718) 263-5401
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200176
NY
Other
Enumeration date
02/07/2006
Last updated
08/03/2022
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