JACKSON DERMATOLOGY PLLC NPI 1275764011

NPI Information

JACKSON DERMATOLOGY PLLC is a specialist in Brooklyn, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JACKSON DERMATOLOGY PLLC NPI is 1275764011. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

55 GREENE AVE
SUITE 2D
BROOKLYN, NY
ZIP 11238-026
Phone: (914) 449-4970

The provider's authorized official is Michael E Jackson .
The authorized official title is Owner and has the following contact phone number (914) 449-6970.

The enumeration date for this NPI number is 7/28/2009 and was last updated on 7/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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