Jackson, Ulysses

Jackson, Ulysses is an sole proprietor health care provider with primary practice located at 89 Washington Ave , Deer Park NY 11729-6917. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jackson, Ulysses can be contacted via phone (631) 767-9294.

Contact Information

Primary practice address
89 Washington Ave Deer Park NY 11729-6917
Phone: (631) 767-9294
Fax: (631) 767-9294
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 24980 New York

Profile Details

NPI number 1376962647
LBN Legal business name Jackson, Ulysses
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2014
Last updated Nov 10th, 2025 - about last year

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.

Request for update

Popular Providers