MR. WILLIAM JACKSON NPI 1851646129

NPI Information

MR. William Jackson is a specialist in Centerport, 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. MR. William Jackson NPI is 1851646129. 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:

5 SHOREWOOD LN
CENTERPORT, NY
ZIP 11721-731
Phone: (631) 375-7188

The enumeration date for this NPI number is 7/23/2012 and was last updated on 7/23/2012.

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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