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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKSON DERMATOLOGY PLLC

Active Organization

JACKSON DERMATOLOGY PLLC is a Specialist organization located in BROOKLYN, New York. NPI 1275764011 is currently active in the NPPES registry. Verify at CMS.

Specialist · BROOKLYN, NY

Registration Details

NPI Number
1275764011
Provider Type
Organization
NPI Issued
Jul 28, 2009 (17.033119190748 yrs)
Last Updated
Jul 28, 2009
License
177618 (NY)

Practice Information

Address
55 GREENE AVE
SUITE 2D
BROOKLYN, NY, 112381026
Browse NY providers · Browse ZIP 11238
Phone
9144494970
Primary Specialty
Specialist
174400000X

Other Specialist Organizations in BROOKLYN, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.