Search › New York › 101YA0400X
Michael Jackson, CASAC
NPI 1922308550 · on the registry since 2010
Practice
- Address
- 1910 Arthur Ave
Bronx, NY 10457 - Phone
- (718) 583-5150
- Fax
- (718) 731-2453
- Clinicians at this address
- 63
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-25
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