Individual provider · Type 1 NPI

Teresa Alice Jackson, MSED

Contractor · Valley Stream, NY

NPI number 1972865442 Active

Practice location

41 Green St
Valley Stream, NY 11580-4815

Fax (516) 285-6388

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X717251962 (NY)
Contractor 171W00000X486110931 (NY)
Contractor 171W00000X486112931 (NY)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1972865442

Teresa Alice Jackson, MSED's National Provider Identifier is 1972865442, issued on Jun 11, 2012. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Valley Stream, NY. The record was last updated on Jun 11, 2012.