Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LELAND JAY JACKSON, MD
ActiveDR. LELAND JAY JACKSON, MD is a Family Medicine healthcare provider located in CAMILLUS, New York. NPI 1386616472 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CAMILLUS, NY
Registration Details
- NPI Number
- 1386616472
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2006 (20.345001886265 yrs)
- Last Updated
- Mar 7, 2023
- License
-
171536 (NY)
Practice Information
- Address
-
5006 W GENESEE STCAMILLUS, NY, 130312326Browse NY providers · Browse ZIP 13031
- Phone
- 3152342342
- Fax
- 3152340697
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CAMILLUS, NY
| Name | Credential | NPI |
|---|---|---|
| THOMAS J LACLAIR | MD | 1003819053 |
| DAVID THURBER PAGE | MD | 1114920287 |
| STEVEN M CONNOLLY | MD | 1639172414 |
| JAMES FRANCIS LAWLESS | MD | 1114910874 |
| JOHN NIKOLA TALEV | MD | 1841275435 |
| DENNIS DAVID DALY | MD | 1073598660 |
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.