SearchNew York133V00000X

Angella Jackson, RD

NPI 1881190122 · on the registry since 2018 · sole proprietor

Practice

Address
85 Summit St
Monroe, NY 10950
Phone
(914) 563-4785

Registry record

Primary taxonomy
133V00000X
133V00000X
Also registered as
133N00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-04-04

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