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Dr. Jeremiah Pack, MD
Neuroradiology Physician in New York, New York
NPI 1659647287

Jeremiah Pack is a Neuroradiology Physician based in Long Beach, NY and is specialized in Neuroradiology. Jeremiah Pack practices in New York, NY and has the professional credentials of MD. The NPI Number for Jeremiah Pack is 1659647287 and holds a License No. (New York).

The current practice location address for Jeremiah Pack is 550 First Avenue, New York, NY and can be reached out via phone at 212-263-5506.

Location: 550 First Avenue, New York, NY, 90822-5201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659647287
Provider Name
Jeremiah Pack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
550 First Avenue, New York, NY, 90822-5201
Phone Number
212-263-5506
Fax Number
Provider Enumeration Date
03/28/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
550 First Avenue
City
New York
State
New York
Zip
10016
Phone Number
212-263-5506
Fax Number
person
Provider Business Mailing Address Details
Address
550 First Avenue
City
New York
State
New York
Zip
10016
Phone Number
212-263-5506
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
A148410 (California)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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