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Jacobi Medical Center

Student in an Organized Health Care Education/Training Program in Bronx, NY. Organization (NPI-2).

NPI number1124472949
StatusActive
Last updated in NPPESApr 18, 2016

Details

NPI
1124472949
Entity type
Organization (NPI-2)
Legal business name
Jacobi Medical Center
Organization subpart
No
Enumeration date
Apr 18, 2016
Last updated
Apr 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1400 Pelham Pkwy S
Bronx, NY 10461-1138

Phone 718-918-3419

Mailing address

1400 Pelham Pkwy S
Bronx, NY 10461-1138

Authorized official

Nancy Jiyoung Ahn
Dentist
9175187497

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