Organization
NEW YORK COLUMBIA PRESBYTERIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER ANN JACKSON RPAC (PHYSICIAN ASSISTANT)
(212) 342-3255
Entity
Organization
Contact information
Practice address
161 FORT WASHINGTON AVE, 629, NEW YORK, NY 10032-3729
(212) 342-3255
(212) 342-3252
Mailing address
2 MARBLE TER, HASTINGS ON HUDSON, NY 10706-2807
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
006236
NY
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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