Peter Jackson is a student in an organized health care education training program in New York, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Peter Jackson NPI is 1518669076. 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:
622 W 168TH ST
NEW YORK, NY
ZIP 10032-720
Phone: (212) 305-6100
The enumeration date for this NPI number is 3/20/2023 and was last updated on 3/20/2023.