Organization
JERREYLL T JACKSON M.D. P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERREYLL T JACKSON (PROVIDER)
(212) 889-1171
Entity
Organization
Contact information
Practice address
20 E 46TH ST, NEW YORK, NY 10017-2417
(212) 889-1171
Mailing address
20 E 46TH ST, NEW YORK, NY 10017-2417
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
237264
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168092
—
NJ
05
—
02884251
—
NY
05
—
2751471
—
NY
Enumeration date
10/15/2008
Last updated
12/08/2008
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