JACQUELINE L GARRETT


Address: 1825 Park Ave, Clinic 3, Eighth Floor, New York, NY 10035-1641
Phone: 2127743230

JACQUELINE L GARRETT (NPI# 1851589964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851589964
Entity Type Individual
Full Name JACQUELINE L GARRETT
Credential P.A.
Practice Address 1825 Park Ave
Clinic 3, Eighth Floor
New York
NY 10035-1641
Mailing Address 70 W 95th St
Apt. 20d
New York
NY 10025-6721
Practice Telephone 2127743230
Practice Fax Number 2129870484
Mailing Telephone 9174127148
Enumeration Date 2007-10-15
Last Update Date 2010-04-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
010186 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1825 PARK AVE
CLINIC 3, EIGHTH FLOOR
City NEW YORK
State NY
Zip Code 10035-1641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912972548 Randy M Seewald Internal Medicine 1825 Park Ave, New York, NY 10035-1641 2006-02-17
1447596697 Janina Thiessen Internal Medicine 1825 Park Ave, 2nd Floor, New York, NY 10035-1641 2012-12-17
1033408414 Bimc Faculty Practice Allergy & Immunology 1825 Park Ave, New York, NY 10035-1641 2011-04-06
1134379076 Ismet Redzep Osmanovic Sr. Legal Medicine 1825 Park Ave, 4th Floor, New York, NY 10035-1641 2008-09-29
1396882841 Sharon Elyse Schoenholtz Family Medicine 1825 Park Ave, 8th Floor, New York, NY 10035-1641 2007-01-31

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1477041234 Rina Rossignol Social Worker 108 Wards Island, Manhattan, NY 10035 2018-04-27
1669978664 Alexandra Black Student in an Organized Health Care Education/Training Program 53 East 124th Street, New York, NY 10035 2018-03-30
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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1659723021 Woo Jung Kim Physician Assistant 131 W 35th St Ste 700, New York, NY 10001-2111 2016-07-08
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Competitor

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City NEW YORK
Zip Code 10035

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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