Alison M Jackson, PA-C

NPI #1154395788 in Centereach, New York

Provider Information

NPI Number: 1154395788
Entity Type: Individual
Name: Alison M Jackson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 13, 2006
Last Updated: Jun 7, 2016

Practice Location

Address: 23 S HOWELL AVE
Address 2: STONY BROOK MEDICINE - VASCULAR SURGERY
City: Centereach
State: New York
ZIP Code: 11720-4445
Phone: (631) 638-1670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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