Jackson, Alison M

Jackson, Alison M is an individual health care provider with primary practice located at 23 S Howell Ave Stony Brook Medicine - Vascular Surgery, Centereach NY 11720-4445. 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, Alison M can be contacted via phone (631) 638-1670.

Contact Information

Primary practice address
23 S Howell Ave Stony Brook Medicine - Vascular Surgery Centereach NY 11720-4445
Phone: (631) 638-1670
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1154395788
LBN Legal business name Jackson, Alison M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jun 7th, 2016 - about 10 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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