Individual provider · Type 1 NPI
John Anthony Jackalone, DPM
Foot Surgery Podiatrist · Bethpage, NY
NPI number
1174620983
Active
Practice location
4295 Hempstead Tpke
Bethpage, NY 11714-5713
Fax (516) 579-3802
Mailing address
PO Box 118
Bethpage, NY 11714-0118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | N005711 (NY) |
Foot Surgery Podiatrist: Definition to come...
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About NPI 1174620983
John Anthony Jackalone, DPM's National Provider Identifier is 1174620983, issued on Sep 20, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Bethpage, NY. The record was last updated on Apr 28, 2008.