Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID BRUCE JACK JR., PA
ActiveDAVID BRUCE JACK JR., PA is a Physician Assistant healthcare provider located in NEW YORK, New York. NPI 1881299352 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NEW YORK, NY
Registration Details
- NPI Number
- 1881299352
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2020 (5.6965196954736 yrs)
- Last Updated
- Dec 2, 2020
- License
-
025760 (NY)
Practice Information
- Address
-
281 1ST AVENEW YORK, NY, 100032925Browse NY providers · Browse ZIP 10003
- Phone
- 2124202000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in NEW YORK, NY
| Name | Credential | NPI |
|---|---|---|
| DONNA SILVERNAIL | PA | 1134126162 |
| JONATHAN FISHER | PA | 1043218282 |
| ROCCO MICHAEL RACANELLI | PA | 1073509550 |
| MS. THERESA LEE RAYMOND | PA-C | 1518954635 |
| MRS. YOLANDE THOMAS-ELLIS | PA-C | 1932197373 |
| DENISE L WINICK | PAC | 1255320073 |
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.