Individual provider · Type 1 NPI

Ilissa D. Jackson, PA-C

Physician Assistant · New York, NY

NPI number 1609838358 Active

Practice location

100 East 77th St, Lenox Hill Hospital-Nslijhs
New York, NY 10075

Call (516) 823-8010 Map

Fax (516) 823-8290

Mailing address

1675 York Ave Apt 8E
New York, NY 10128-6738

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9103627 (FL)
Physician Assistant Primary 363A00000X23-015052 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1609838358

Ilissa D. Jackson, PA-C's National Provider Identifier is 1609838358, issued on Apr 6, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Apr 12, 2012.