Organization
RALPH K. JACKSON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH KINER JACKSON M.D. (OWNER)
(212) 283-0333
Entity
Organization
Contact information
Practice address
1727 AMSTERDAM AVENUE, 3RD FLOOR, NEW YORK, NY 10031-4611
(212) 283-0333
Mailing address
1727 AMSTERDAM AVE, 3RD FLOOR, NEW YORK, NY 10031-4611
(212) 283-0333
(212) 234-4954
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00524543
—
NY
Enumeration date
04/11/2007
Last updated
09/08/2008
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