DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL E. JACKSON, M.D.

Active Sole Proprietor

DR. MICHAEL E. JACKSON, M.D. is a Dermatology healthcare provider located in BROOKLYN, New York. NPI 1912991019 is currently active in the NPPES registry. Verify at CMS.

Dermatology · BROOKLYN, NY

Registration Details

NPI Number
1912991019
Provider Type
Individual
Gender
Male
NPI Issued
Sep 2, 2005 (20.964365711947 yrs)
Last Updated
Sep 4, 2015
License
177618-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
55 GREENE AVE 2D/2E
BROOKLYN, NY, 112386406
Browse NY providers · Browse ZIP 11238
Phone
7186232783
Fax
7186232787
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in BROOKLYN, NY

Name Credential NPI
DAVID ERIC BIRO M.D. 1265439129
DR. STEVEN IRA SIMON M.D. 1154329472
DR. STEPHEN J DANZIGER MD 1033118310
LINA S PLANTILLA MD, FAAD 1306845599
DR. HILARY E. BALDWIN M.D. 1962496265
DR. JESSICA J. KRANT M.D. 1275527582
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.