Kim Jackson

NPI 1003415464 · on the registry since 2020 · sole proprietor

Practice

Address: 29 Glen Cove Ave Ste 212
Glen Cove, NY 11542
Phone: (516) 384-7670
Organisation at this address: Adam Cirlincione Dpm Pc
Diabetes & Metabolism Llc
Glen Cove Family Medicine. Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-10-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York