Individual
DR. DAISY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3 COLUMBUS CIR, NEW YORK, NY 10019-1903
(121) 224-6574
Mailing address
353 LEXINGTON AVE STE 407, NEW YORK, NY 10016-0941
(646) 470-1226
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02728-1
NY
Other
Enumeration date
07/11/2011
Last updated
10/09/2025
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