David Bruce Jack Jr., PA
David Bruce Jack Jr., PA is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2020.
- Licensed in
- NY
- In the registry since
- 2020
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
281 1st AveNew York, NY 10003-2925
Phone: (212) 420-2000
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 025760 (NY) |
|---|
Record details
| NPI number | 1881299352 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | December 2, 2020 |
| Last updated in NPPES | December 2, 2020 |
| Certification date | December 2, 2020 |
Medicare patients and services, 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 13 |
| Average patient age | 74 |
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