Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON TOPAZ
Active Sole ProprietorJACKSON TOPAZ is a Peer Specialist healthcare provider located in CORAM, New York. NPI 1245993450 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · CORAM, NY
Registration Details
- NPI Number
- 1245993450
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2021 (4.8051867476987 yrs)
- Last Updated
- Oct 15, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
3600 ROUTE 112CORAM, NY, 117274116Browse NY providers · Browse ZIP 11727
- Phone
- 6319208500
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in CORAM, NY
| Name | Credential | NPI |
|---|---|---|
| ANNE KIRKHAM | — | 1013414168 |
| ERIC GERALD ELIE | — | 1770057267 |
| ANDREA MARINELLI | — | 1194492645 |
| MISS KEYANA SHERRISE MCQUEEN | CRPA-P | 1154063188 |
| TAMARA PRATT | — | 1578346698 |
| SUZANNE ROOT | — | 1962264325 |
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.