Organization
RICHARD T JACKSON LLC
Active
Parent organization
RICHARD T JACKSON LLC
Other names
Saratoga Neurology Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICHARD T JACKSON LLC
Authorized official
RICHARD T JACKSON MD (OWNER)
(646) 957-7648
Entity
Organization
Contact information
Practice address
3 LEAR JET LN STE 203, LATHAM, NY 12110-2322
(518) 258-4033
Mailing address
7 SOUTHSIDE DR STE 206, CLIFTON PARK, NY 12065-3894
(518) 709-0005
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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