# RALPH K. JACKSON, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558584888
- **Authorized official:** DR. RALPH KINER JACKSON M.D. (OWNER)
- **Authorized official phone:** (212) 283-0333

## Contact information

- **Practice address:** 1727 AMSTERDAM AVENUE, 3RD FLOOR, NEW YORK, NY 10031-4611
- **Practice address phone:** (212) 283-0333
- **Mailing address:** 1727 AMSTERDAM AVE, 3RD FLOOR, NEW YORK, NY 10031-4611
- **Mailing address phone:** (212) 283-0333
- **Mailing address fax:** (212) 234-4954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 09/08/2008