Organization
JACKSON MEDICAL, PLLC
Active
Parent organization
JACKSON MEDICAL, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON MEDICAL, PLLC
Authorized official
FERDOUS KHANDKER (PRESIDENT)
(718) 565-5600
Entity
Organization
Contact information
Practice address
7017 37TH AVE, JACKSON HEIGHTS, NY 11372-3922
(718) 565-5600
(718) 565-5686
Mailing address
7017 37TH AVE, JACKSON HEIGHTS, NY 11372-3922
(718) 565-5600
(718) 565-5686
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
225253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02300407
—
NY
Enumeration date
03/27/2006
Last updated
03/12/2008
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