Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PELAGIE JACKSON
Active Sole ProprietorPELAGIE JACKSON is a Bus healthcare provider located in COLONIE, New York. NPI 1699439299 is currently active in the NPPES registry. Verify at CMS.
Bus · COLONIE, NY
Registration Details
- NPI Number
- 1699439299
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2021 (4.6028539907308 yrs)
- Last Updated
- Oct 29, 2021
- License
-
496960035 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8 MORDELLA RDCOLONIE, NY, 122052504Browse NY providers · Browse ZIP 12205
- Phone
- 5182291695
- Primary Specialty
-
Bus
343900000X
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.