MRS. Melanie Jackson, PA-C

NPI #1134313364 in Forest Hills, New York

Provider Information

NPI Number
1134313364
Entity Type
Individual
Name
MRS. Melanie Jackson, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Aug 30, 2007
Last Updated
Sep 11, 2007

Practice Location

Address
10201 66TH RD
Address 2
OB/GYN DEPT 3RD FLOOR
ZIP Code
11375-2029
Phone
(718) 830-1030

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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