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1174620983
JOHN ANTHONY JACKALONE
BETHPAGE, NY
NPI
1174620983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0131X Podiatrist Foot Surgery
(Licence: NY N005711)
Enumeration Date
2006-09-20
Last Update Date
2008-04-28
Business Address
JOHN ANTHONY JACKALONE DPM
4295 HEMPSTEAD TPKE
BETHPAGE, NY 11714-5713
Phone number: 516-579-3500
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Mailing Address
JOHN ANTHONY JACKALONE DPM
PO BOX 118
BETHPAGE, NY 11714-0118
Phone number: 516-579-3500
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