Organization · Type 2 NPI

Keith Ryan Jackson MD PC

Dermatology Physician · Staten Island, NY

NPI number 1326216847 Active

Practice location

11 Ralph Pl, Suite 209
Staten Island, NY 10304-4419

Call (718) 727-1331 Map

Fax (718) 727-2159

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X212165 (NY)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1326216847

Keith Ryan Jackson MD PC's National Provider Identifier is 1326216847, issued on Feb 19, 2008. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Staten Island, NY. The record was last updated on May 29, 2013.