Individual
DR. MARK AARON JACKNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4405 BROADWAY, NEW YORK, NY 10040-4014
(212) 740-2020
(646) 666-0280
Mailing address
PO BOX 746087, ATLANTA, GA 30374-6087
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
230171
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02716663
—
NY
Enumeration date
03/23/2006
Last updated
09/01/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us