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Jackson Topaz
NPI 1245993450 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3600 Route 112
Coram, NY 11727 - Phone
- (631) 920-8500
- Organisation at this address
- Pederson Krag
Welllife Network Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 152
Registry record
- Primary taxonomy
- Peer Specialist
175T00000X
- Sex
- Male
- Record last updated
- 2021-10-15
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