Provider Demographics
NPI:1265692669
Name:FRENCH, JESSICA RENEE (MD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:RENEE
Last Name:FRENCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 E 4TH ST
Mailing Address - Street 2:APT 3FE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-7009
Mailing Address - Country:US
Mailing Address - Phone:646-713-5619
Mailing Address - Fax:
Practice Address - Street 1:34 E 4TH ST
Practice Address - Street 2:APT 3FE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-7009
Practice Address - Country:US
Practice Address - Phone:646-713-5619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261352207ZF0201X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program