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Search › New York › Primary Podiatric Medicine Podiatrist

Avila Jackson, DPM

NPI 1811196488 · on the registry since 2007

Practice

Address
86-41 Lefferts Blvd.
Richmond Hill, NY 11418
Phone
(718) 849-3338
Fax
(718) 849-3166

Registry record

Primary taxonomy
Primary Podiatric Medicine Podiatrist
213EP1101X
Also registered as
Primary Podiatric Medicine Podiatrist
Licence states on file
MI, NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-05-31

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