Search › New York › 164W00000X
Tontalayah Jackson
NPI 1245940121 · on the registry since 2022
Practice
- Address
- 936 Hoe Ave Apt 2a
Bronx, NY 10459 - Phone
- (917) 792-7116
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-01
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