Individual
TIA JACKSON-BEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
635 MADISON AVE FL 10, NEW YORK, NY 10022-1009
(212) 756-5777
(212) 756-5700
Mailing address
635 MADISON AVE FL 10, NEW YORK, NY 10022-1009
(212) 756-5777
(212) 756-5700
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036143119
IL
207VE0102X
Reproductive Endocrinology Physician
Primary
036.143119
IL
Other
Enumeration date
03/25/2013
Last updated
05/29/2020
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