DWIGHT SHELDON JACK

ROSEDALE, NY
NPI1184883365
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: NY  548498)
Enumeration Date2008-06-03
Last Update Date2008-06-03
Business Address
-- DWIGHT SHELDON JACK RN
24123 148TH AVE
ROSEDALE, NY 11422-3265
Phone number: 718-723-1083
Mailing Address
-- DWIGHT SHELDON JACK RN
24123 148TH AVE
ROSEDALE, NY 11422-3265
Phone number: 718-723-1083