Search › New York › 1223P0221X
Brandon Jackson, D.D.S
NPI 1861753949 · on the registry since 2012
Practice
- Address
- 70 Virginia Ave
Staten Island, NY 10305 - Phone
- (718) 226-8851
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 390200000X
390200000X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-15
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