Jackson, Condii Q

Jackson, Condii Q is an individual health care provider with primary practice located at 1000 Montauk Hwy , West Islip NY 11795-4927. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric, which is considered as her primary health care specialty. Jackson, Condii Q can be contacted via phone (631) 376-6000.

Contact Information

Primary practice address
1000 Montauk Hwy West Islip NY 11795-4927
Phone: (631) 376-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric 211D00000X

Profile Details

NPI number 1871750463
LBN Legal business name Jackson, Condii Q
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated May 21st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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