Organization
RICHARD T JACKSON LLC
Active
Other names
Saratoga Headache Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JACKSON MD (OWNER)
(518) 709-0005
Entity
Organization
Contact information
Practice address
7 SOUTHSIDE DR, CLIFTON PARK, NY 12065-3887
(646) 957-7648
Mailing address
7 SOUTHSIDE DR, CLIFTON PARK, NY 12065-3887
(518) 709-0005
(518) 280-2275
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
07/08/2021
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