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Organization
JACKSON MEDICAL, PLLC
Active
Organization
JACKSON MEDICAL, PLLC
Active
Parent organization
JACKSON MEDICAL, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON MEDICAL, PLLC
Authorized official
FERDOUS KHANDKER (PRESIDENT)
(718) 565-5600
Entity
Organization
Contact information
Practice address
7017 37TH AVE, JACKSON HEIGHTS, NY 11372-3922
(718) 565-5600
(718) 565-5686
Mailing address
7017 37TH AVE, JACKSON HEIGHTS, NY 11372-3922
(718) 565-5600
(718) 565-5686
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
225253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02300407
—
NY
Enumeration date
03/27/2006
Last updated
03/12/2008
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