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1780813816
JACKIE M. BOSWORTH
BROOKLYN, NY
NPI
1780813816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY P56991)
Enumeration Date
2009-07-10
Last Update Date
2009-07-10
Business Address
Dr. JACKIE M. BOSWORTH M.D.
1 BROOKDALE PLZ
BROOKLYN, NY 11212-3139
Phone number: 718-240-8075
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Mailing Address
Dr. JACKIE M. BOSWORTH M.D.
200 W 92ND ST APT. 5A
NEW YORK, NY 10025-7432
Phone number: 212-787-4909
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