Search › New York › 207W00000X
Jerreyll Jackson, MD
NPI 1629009576 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4604 31st Ave
Long Island City, NY 11103 - Phone
- (212) 889-1171
- Organisation at this address
- Boro Medical, P.C.
Richard J. Beira, Md Pc
Andrea Podiatric Care, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 207W00000X
207W00000X - Licence states on file
- NJ, CT, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-12-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York