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Search › New York › 207RG0100X

Melissa Jackson, M.D

NPI 1861839995 · on the registry since 2013 · sole proprietor

Practice

Address
101 Pennsylvania Avenue
Brooklyn, NY 11207
Phone
(718) 240-2000
Fax
(718) 240-2260
Clinicians at this address
27

Additional practice sites

  • 593 Eddy St, Providence, RI
  • 125-06 101st Ave, 125-06 101st Ave, NY
  • 447 Atlantic Ave, Brooklyn, NY

Registry record

Primary taxonomy
207RG0100X
207RG0100X
Also registered as
207R00000X
Licence states on file
RI, NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-01

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