JACK MOHADEB

BROOKLYN, NY
NPI1326451337
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  014776-1)
Enumeration Date2014-06-06
Last Update Date2014-10-24
Business Address
Mr. JACK MOHADEB PA
1977 E 15TH ST
BROOKLYN, NY 11229-3307
Phone number: 917-751-6126
Mailing Address
Mr. JACK MOHADEB PA
1977 E 15TH ST
BROOKLYN, NY 11229-3307
Phone number: 917-751-6126
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