| Jal 28 Llc | |
|
2873 W 17th St Brooklyn NY 11224-2611 | |
| (718) 265-0900 | |
| Not Available |
| Full Name | Jal 28 Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2873 W 17th St, Brooklyn, New York |
| Authorized Official Name and Position | John Lieberman (MANAGER) |
| Authorized Official Contact | 9177477976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jal 28 Llc 2873 W 17th St Brooklyn NY 11224-2611 Ph: () - | Jal 28 Llc 2873 W 17th St Brooklyn NY 11224-2611 Ph: (718) 265-0900 |
| NPI Number | 1063278281 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063278281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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