Individual
DR. DANIELLE S JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(833) 351-8255
(888) 815-3583
Mailing address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(833) 351-8255
(888) 815-3583
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA11226200
NJ
2084P0800X
Psychiatry Physician
Primary
281585
NY
Other
Enumeration date
04/16/2013
Last updated
05/06/2025
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