John Anthony Jackalone
Foot Surgery
4295 Hempstead Tpke
Bethpage
, New York 11714-5713
John Anthony Jackalone
Foot Surgery
4295 Hempstead Tpke
Bethpage
, New York 11714-5713
(516) 579-3802
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- John Anthony Jackalone
- Po Box 118
- Bethpage, NY
- Zip : 11714-0118
- Fax : (516) 579-3802
- Phone : (516) 579-3500
Second Address
- John Anthony Jackalone
- 4295 Hempstead Tpke
- Bethpage, NY
- Zip : 11714-5713
- Fax : (516) 579-3802
- Phone : (516) 579-3500
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | N005711 | NY |
National Provider Identifier
| NPI | 1174620983 |
|---|---|
| Provider Name | John Anthony Jackalone |
| First Address | Bethpage, NY 11714-0118 |
| Second Address | Bethpage, NY 11714-5713 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 28/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U83792 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.