Individual
INDYA DENISE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 VANTAGE POINT DR, ROCHESTER, NY 14624-1180
(585) 352-7775
(585) 352-7879
Mailing address
50 VANTAGE POINT DR, ROCHESTER, NY 14624-1180
(585) 352-7775
(585) 352-7879
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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