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Tamara Jackson
NPI 1861824807 · on the registry since 2013
Practice
- Address
- 678 Sagamore St Apt 7h
Bronx, NY 10462 - Phone
- (347) 625-4322
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-02
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