Jackson, Twana M

Jackson, Twana M is an individual health care provider with primary practice located at 1 Healthy Way , Oceanside NY 11572-3834. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jackson, Twana M can be contacted via phone (917) 744-2403.

Contact Information

Primary practice address
1 Healthy Way Oceanside NY 11572-3834
Phone: (917) 744-2403
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 263506 New York

Profile Details

NPI number 1245564020
LBN Legal business name Jackson, Twana M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2009
Last updated Oct 12th, 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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