Prethadawn Jack

  • 1134534373 NPI Number
  • |
  • Actived: 5 years ago
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According to our database, NPI number for Prethadawn Jack is 1134534373 and actived since Thursday, June 26 2014. Prethadawn Jack is an individual provider specializes in Mental Health, primary practice location is 1911 Bergen St, Brooklyn, NY 11233. You can also contact Prethadawn Jack via telephone number is (718) 495-6862. Provider NPI information was last updated on 06/26/2014.

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Overview of Prethadawn Jack

  • NPI number: 1912540212
  • Provider type: Individual
  • Specialty: Mental Health
  • Gender: Female
  • Active since: 06/26/2014
  • Last updated: 06/26/2014

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: 270311
  • License State: NY

Provider Mailing Address

  • Address: 1911 Bergen St
    Brooklyn, NY 11233
  • Phone: 718-495-6862
  • Fax:

Provider Practice Location

  • Address: 1911 Bergen St
    Brooklyn, NY 11233
  • Phone: 718-495-6862
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: 270311
  • License State: NY
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Prethadawn Jack?
  • A: The npi number for Prethadawn Jack is 1134534373.
  • Q: What are Prethadawn Jack's specialties?
  • A: Prethadawn Jack's specialties are Mental Health and different specialities.
  • Q: What is the medical license for Prethadawn Jack?
  • A: The medical license number for Prethadawn Jack is 270311 and issued in NY in USA.
  • Q: Where is Prethadawn Jack practice location?
  • A: Prethadawn Jack is practicing at 1911 Bergen St, Brooklyn, NY 11233.
  • Q: How to contact Prethadawn Jack?
  • A: You can contact Prethadawn Jack via 718-495-6862.