Jackson, Arthur Crawford

Jackson, Arthur Crawford is an individual health care provider with primary practice located at 2021 Grand Concourse Suite 711, Bronx NY 10453-4304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Jackson, Arthur Crawford can be contacted via phone (718) 960-0393.

Contact Information

Primary practice address
2021 Grand Concourse Suite 711 Bronx NY 10453-4304
Phone: (718) 960-0393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 181006 New York

Profile Details

NPI number 1821057514
LBN Legal business name Jackson, Arthur Crawford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821057514 NPPES
New York MEDICAID 01852455

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