Jackson, Harry

Jackson, Harry is an sole proprietor health care provider with primary practice located at 140 Alcott Pl , Bronx NY 10475-4302. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Jackson, Harry can be contacted 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

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 110153 New York

Profile Details

NPI number 1457331209
LBN Legal business name Jackson, Harry
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Jun 22nd, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1457331209 NPPES
New York MEDICAID 00196483

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