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

KEITH RYAN JACKSON MD PC

Active Organization

KEITH RYAN JACKSON MD PC is a Dermatology organization located in STATEN ISLAND, New York. NPI 1326216847 is currently active in the NPPES registry. Verify at CMS.

Dermatology · STATEN ISLAND, NY

Registration Details

NPI Number
1326216847
Provider Type
Organization
NPI Issued
Feb 19, 2008 (18.513359354881 yrs)
Last Updated
May 29, 2013
License
212165 (NY)

Practice Information

Address
11 RALPH PL
SUITE 209
STATEN ISLAND, NY, 103044419
Browse NY providers · Browse ZIP 10304
Phone
7187271331
Fax
7187272159
Primary Specialty
Dermatology
207N00000X

Other Dermatology Organizations in STATEN ISLAND, 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.