Organization
EAST SIDE ENDOCRINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON JACKNESS MD (OWNER)
(212) 772-7628
Entity
Organization
Contact information
Practice address
103 E 75TH ST, NEW YORK, NY 10021-2805
(212) 772-7628
Mailing address
103 E 75TH ST, NEW YORK, NY 10021-2805
(212) 772-7628
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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