Jackson, Melanie

Jackson, Melanie is an individual health care provider with primary practice located at 10201 66Th Rd Ob/Gyn Dept 3Rd Floor, Forest Hills NY 11375-2029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jackson, Melanie can be contacted via phone (718) 830-1030.

Contact Information

Primary practice address
10201 66Th Rd Ob/Gyn Dept 3Rd Floor Forest Hills NY 11375-2029
Phone: (718) 830-1030
Fax: (718) 830-1089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003328-1 New York

Profile Details

NPI number 1134313364
LBN Legal business name Jackson, Melanie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated Sep 11th, 2007 - about 18 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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