Dwight Sheldon Jack, RN is a general practice registered nurse in Rosedale, NY. Dwight Sheldon Jack, RN NPI is 1184883365. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
24123 148TH AVE
ROSEDALE, NY
ZIP 11422-265
Phone: (718) 723-1083
Fax: (718) 723-1083
The enumeration date for this NPI number is 6/3/2008 and was last updated on 6/3/2008.