Individual
NAOMI JOSEPHINE JACKMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 MAIN ST, PORT WASHINGTON, NY 11050-3211
(516) 944-8555
(516) 944-0387
Mailing address
211 MAIN ST, PORT WASHINGTON, NY 11050-3211
(516) 944-8555
(516) 944-0387
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
206424
NY
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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