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Alexis Jackson
NPI 1043014475 · on the registry since 2025 · sole proprietor
Practice
- Address
- 211 S Lowell Ave # 2
Syracuse, NY 13204 - Phone
- (315) 507-1885
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-03
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