Search › New York › 163W00000X
Judith Jackson
NPI 1356585343 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1622 E 24th St
Brooklyn, NY 11229 - Phone
- (516) 285-1892
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-07-21
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