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Individual

JOY TAMIKA JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
444 MERRICK RD, LYNBROOK, NY 11563-2460
(516) 593-9500
Mailing address
160 E SUNRISE HWY # 1157, FREEPORT, NY 11520-3945
(516) 320-4658

Taxonomy

Speciality
Code
Description
License number
State
2278P1004X
Pulmonary Diagnostics Certified Respiratory Therapist
Primary
003407
NY

Other

Enumeration date
08/24/2023
Last updated
08/24/2023
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