Jackson Medical, Pllc

LBN: Jackson Medical, Pllc
Jackson Medical, Pllc is an health care organization with primary practice located at 7017 37Th Ave , Jackson Heights NY 11372-3922. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Jackson Medical, Pllc can be contacted via phone (718) 565-5600, or through Khandker, Ferdous via phone (718) 565-5600.

Contact Information

Primary practice address
7017 37Th Ave Jackson Heights NY 11372-3922
Phone: (718) 565-5600
Fax: (718) 565-5686
Website:
Map and Directions
Authorized official contact:
Name: Khandker, Ferdous
Phone: (718) 565-5600

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 225253 New York

Profile Details

NPI number 1235199852
LBN Legal business name Jackson Medical, Pllc
DBA Doing business as
Authorized official Khandker, Ferdous
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 27th, 2006
Last updated Mar 12th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235199852 NPPES
New York MEDICAID 02300407

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