DAVID BRUCE JACK

NEW YORK, NY
NPI1881299352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  025760)
Enumeration Date2020-12-02
Last Update Date2020-12-02
Business Address
DAVID BRUCE JACK PA
281 1ST AVE
NEW YORK, NY 10003-2925
Phone number: 212-420-2000
Mailing Address
DAVID BRUCE JACK PA
214 PINE RD
CORAM, NY 11727-2410
Phone number:
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