Jackson, Teresa Alice

Jackson, Teresa Alice is an individual health care provider with primary practice located at 41 Green St , Valley Stream NY 11580-4815. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Jackson, Teresa Alice can be contacted via phone (516) 285-6388.

Contact Information

Primary practice address
41 Green St Valley Stream NY 11580-4815
Phone: (516) 285-6388
Fax: (516) 285-6388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 717251962 New York
Other Service Providers / Contractor 171W00000X 486110931 New York
Other Service Providers / Contractor 171W00000X 486112931 New York

Profile Details

NPI number 1972865442
LBN Legal business name Jackson, Teresa Alice
Credentials MSED
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2012
Last updated Jun 11th, 2012 - about 12 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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