Individual
DR. ARIELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
240 W 73RD ST, NEW YORK, NY 10023-2700
(646) 230-8190
Mailing address
18917 KEESEVILLE AVE, SAINT ALBANS, NY 11412-2335
(917) 669-9169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044798
NY
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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