Jedwab, Jack
Jedwab, Jack is an sole proprietor health care provider with primary practice located at 2270 Kimball St Suite 214, Brooklyn NY 11234-5139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Jedwab, Jack can be contacted via phone (718) 377-7575.Contact Information
Primary practice address
2270 Kimball St Suite 214
Brooklyn NY 11234-5139
Phone: (718) 377-7575
Fax: (718) 377-8566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 139976 | New York |
Profile Details
| NPI number | 1427188879 |
|---|---|
| LBN Legal business name | Jedwab, Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427188879 | NPPES |
| New York | MEDICAID | 00495565 |
Popular Providers
-
Skoog, Steven John
3181 Sw Sam Jackson Park Rd Cdw6, Portland OR 97239-3011 -
Ritchey, Michael L.
1920 E Cambridge Ave Ste 302 , Phoenix AZ 85006-1464 -
Choe, Sung M
421 E Merced Ave , West Covina CA 91790 -
Herz, Daniel B
979 E 3Rd St Suite C-925, Chattanooga TN 37403-2136 -
Ashley, Richard A
5166 E. Glenn St. , Tucson AZ 85712 -
Berkman, Scott A.
9300 Valley Childrens Pl # Mb16 , Madera CA 93636-8761 -
Mcaleer, Irene Mary
125 W Hague Rd Ste 360 , El Paso TX 79902-5818 -
Cerniglia, Frank R
1514 Jefferson Hwy , New Orleans LA 70121-2429