MR. Warren W Jackson, RPA-C

NPI #1447328166 in Patchogue, New York

Provider Information

NPI Number: 1447328166
Entity Type: Individual
Name: MR. Warren W Jackson, RPA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: RPA-C
Enumeration Date: Dec 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 101 HOSPITAL RD
City: Patchogue
State: New York
ZIP Code: 11772-4870
Phone: (631) 654-7236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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