Richard T Jackson LLC
NPI #1164055893 in Clifton Park, New York
Provider Information
- NPI Number
- 1164055893
- Entity Type
- Organization
- Organization Name
- Richard T Jackson LLC
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Feb 21, 2020
- Last Updated
- Jul 8, 2021
Practice Location
- Address
- 7 SOUTHSIDE DR
- City
- Clifton Park
- State
- New York
- ZIP Code
- 12065-3887
- Phone
- (646) 957-7648
Authorized Official
- Name
- RICHARD JACKSON, MD
- Title
- OWNER
- Phone
- (518) 709-0005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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