Harry Jackson Md Pc

LBN: Harry Jackson Md Pc
Harry Jackson Md Pc is an health care organization with primary practice located at 140 Alcott Pl , Bronx NY 10475-4302. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Harry Jackson Md Pc can be contacted via phone (718) 379-4444, or through Jackson, Harry via phone (718) 379-4444.

Contact Information

Primary practice address
140 Alcott Pl Bronx NY 10475-4302
Phone: (718) 379-4444
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Harry
Phone: (718) 379-4444

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 511301 New York

Profile Details

NPI number 1265411474
LBN Legal business name Harry Jackson Md Pc
DBA Doing business as
Authorized official Jackson, Harry
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2006
Last updated Jan 7th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265411474 NPPES
New York MEDICAID 00196483

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