Individual
ALISON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1 EVA CT, NORTH BALDWIN, NY 11510-1441
(516) 410-4823
Mailing address
1 EVA CT, NORTH BALDWIN, NY 11510-1441
(516) 410-4823
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019375
NY
363A00000X
Physician Assistant
6028
CT
Other
Enumeration date
01/27/2016
Last updated
03/07/2023
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