SearchNew York343900000X

Pelagie Jackson

NPI 1699439299 · on the registry since 2021 · sole proprietor

Practice

Address
8 Mordella Rd
Colonie, NY 12205
Phone
(518) 229-1695

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-29

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