Individual
DR. CLIFTON JACKNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 E 75TH ST, NEW YORK, NY 10021-2805
(212) 772-7628
(212) 772-7062
Mailing address
103 E 75TH ST, NEW YORK, NY 10021-2805
(212) 772-7628
(212) 772-7062
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
250208
NY
Other
Enumeration date
06/27/2008
Last updated
12/28/2023
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