Individual
DR. RALPH K. JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1727 AMSTERDAM AVE, 3RD FLOOR, NEW YORK, NY 10031-4611
(212) 283-0333
(212) 234-4954
Mailing address
PO BOX 601, NEW YORK, NY 10031-0601
(212) 283-0333
(212) 234-4954
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
127939
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00524543
—
NY
Enumeration date
05/13/2006
Last updated
12/08/2017
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