Jackson, Mavis

Jackson, Mavis is an individual health care provider with primary practice located at 140 Old Orangeburg Rd , Orangeburg NY 10962-1157. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Jackson, Mavis can be contacted via phone (845) 680-7800.

Contact Information

Primary practice address
140 Old Orangeburg Rd Orangeburg NY 10962-1157
Phone: (845) 680-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 572849 New York

Profile Details

NPI number 1083455315
LBN Legal business name Jackson, Mavis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2024
Last updated Jun 3rd, 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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