Individual provider · Type 1 NPI
Jeremiah Pack, MD
Neuroradiology Physician · New York, NY
NPI number
1659647287
Active
Practice location
550 First Avenue, Nyu Langone Medical Center
New York, NY 10016
Mailing address
5901 E 7th St
Long Beach, CA 90822-5201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Neuroradiology Physician Primary | 2085N0700X | A148410 (CA) |
Neuroradiology Physician: 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.
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About NPI 1659647287
Jeremiah Pack, MD's National Provider Identifier is 1659647287, issued on Mar 28, 2012. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in New York, NY. The record was last updated on Jan 30, 2021.