Search › New York › 225200000X
John Jackson
NPI 1992202832 · on the registry since 2018 · sole proprietor
Practice
- Address
- 209 Lake St
Chittenango, NY 13037 - Phone
- (315) 256-3615
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-08
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