Individual
FRANK IAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
376 E MAIN ST, BAY SHORE, NY 11706-8441
(631) 396-7000
(860) 714-8298
Mailing address
376 E MAIN ST STE 202, BAY SHORE, NY 11706-8441
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
323946
NY
Other
Enumeration date
04/01/2019
Last updated
12/16/2024
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