Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK JEDWAB, M.D.
Active Sole ProprietorDR. JACK JEDWAB, M.D. is a Pediatric Urology healthcare provider located in BROOKLYN, New York. NPI 1427188879 is currently active in the NPPES registry. Verify at CMS.
Pediatric Urology · BROOKLYN, NY
Registration Details
- NPI Number
- 1427188879
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2007 (19.258968957927 yrs)
- Last Updated
- Jul 8, 2007
- License
-
139976 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2270 KIMBALL STSUITE 214BROOKLYN, NY, 112345139Browse NY providers · Browse ZIP 11234
- Phone
- 7183777575
- Fax
- 7183778566
- Primary Specialty
-
Pediatric Urology
2088P0231X
Other Pediatric Urology Providers in BROOKLYN, NY
| Name | Credential | NPI |
|---|---|---|
| DR. JAIME FREYLE | MD | 1295763902 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.