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1619947082
JACK F DALTON
FOREST HILLS, NY
NPI
1619947082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 112564)
Enumeration Date
2006-01-26
Last Update Date
2011-01-11
Business Address
Dr. JACK F DALTON M.D.
106-14 70TH AVENUE
FOREST HILLS, NY 11375
Phone number: 718-520-6620
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Mailing Address
Dr. JACK F DALTON M.D.
250 S END AVE
NEW YORK, NY 10280-1078
Phone number: 718-520-6620
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