Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN J JACKOWSKI, RPA
ActiveSTEPHEN J JACKOWSKI, RPA is a Medical Physician Assistant healthcare provider located in FAYETTEVILLE, New York. NPI 1215990536 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FAYETTEVILLE, NY
Registration Details
- NPI Number
- 1215990536
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2006 (20.170969600938 yrs)
- Last Updated
- Nov 15, 2011
- License
-
004417 (NY)
Practice Information
- Address
-
4103 MEDICAL CENTER DRFAYETTEVILLE, NY, 130666600Browse NY providers · Browse ZIP 13066
- Phone
- 3156377800
- Fax
- 3156377808
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FAYETTEVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| MARY T LYNCH | RPA | 1659331080 |
| KEITH S MURRAY | RPA | 1477514263 |
| DAWN M SCOTT | RPA | 1629030978 |
| SHERYL L KHAN | RPA | 1215009352 |
| ANITA D O'MALLEY | PA | 1790819126 |
| GLENN GILBERG | PA | 1770603755 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.