Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESIREE JACKSON
Active Sole ProprietorDESIREE JACKSON is a Early Intervention Provider Agency healthcare provider located in NORTH BALDWIN, New York. NPI 1699150268 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · NORTH BALDWIN, NY
Registration Details
- NPI Number
- 1699150268
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2015 (11.10538947242 yrs)
- Last Updated
- Jul 24, 2015
- License
-
1773076 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2127 MARION PLNORTH BALDWIN, NY, 115102921Browse NY providers · Browse ZIP 11510
- Phone
- 6467390985
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Other Early Intervention Provider Agency Providers in NORTH BALDWIN, NY
| Name | Credential | NPI |
|---|---|---|
| CAREN MICHELLE COLONNA | — | 1154759439 |
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.