Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ULYSSES JACKSON
Active Sole ProprietorULYSSES JACKSON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in DEER PARK, New York. NPI 1376962647 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · DEER PARK, NY
Registration Details
- NPI Number
- 1376962647
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2014 (12.324250611406 yrs)
- Last Updated
- Nov 10, 2025
- License
-
24980 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
89 WASHINGTON AVEDEER PARK, NY, 117296917Browse NY providers · Browse ZIP 11729
- Phone
- 6317679294
- Fax
- 6317679294
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in DEER PARK, NY
| Name | Credential | NPI |
|---|---|---|
| SUSAN ZALESKI | — | 1053730648 |
| GERALD MCCLARY | — | 1164841359 |
| ANA GIANGRANDE | — | 1750700019 |
| COURTNEY DEFEO | CASAC-T | 1922467604 |
| DEMETRIOS GORGIOS FUIAXIS | — | 1992347520 |
| ALAINA DALY | — | 1760024343 |
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.