Individual provider · Type 1 NPI
William Jackson
Specialist · Centerport, NY
NPI number
1851646129
Active
Practice location
5 Shorewood Ln
Centerport, NY 11721-1731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1851646129
William Jackson's National Provider Identifier is 1851646129, issued on Jul 23, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Centerport, NY. The record was last updated on Jul 23, 2012.