Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AVILA T JACKSON, DPM
ActiveAVILA T JACKSON, DPM is a Radiology Podiatrist healthcare provider located in RICHMOND HILL, New York. NPI 1811196488 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · RICHMOND HILL, NY
Registration Details
- NPI Number
- 1811196488
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2007 (19.129677663638 yrs)
- Last Updated
- May 31, 2012
- Licenses
-
5901002248 (MI)006459 (NY)
Practice Information
- Address
-
86-41 LEFFERTS BLVD.RICHMOND HILL, NY, 11418Browse NY providers · Browse ZIP 11418
- Phone
- 7188493338
- Fax
- 7188493166
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Radiology Podiatrist
Other Radiology Podiatrist Providers in RICHMOND HILL, NY
| Name | Credential | NPI |
|---|---|---|
| ARTHUR KAPLAN | — | 1427012236 |
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.