Individual
ARTHUR CRAWFORD JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2021 GRAND CONCOURSE, SUITE 711, BRONX, NY 10453-4304
(718) 960-0393
Mailing address
153 BENNETT AVE, APT. 2D, NEW YORK, NY 10040-4012
(212) 923-1957
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
181006
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01852455
—
NY
Enumeration date
03/21/2006
Last updated
07/08/2007
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