WILLIAM MICHAEL JACKSON

NEW YORK, NY
NPI1043577216
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: NY  274685)
Enumeration Date2012-04-12
Last Update Date2017-10-30
Business Address
WILLIAM MICHAEL JACKSON M.D.
630 W 168TH ST
NEW YORK, NY 10032-3725
Phone number: 212-305-2069
Mailing Address
WILLIAM MICHAEL JACKSON M.D.
622 W 168TH ST PH 5-505
NEW YORK, NY 10032-3720
Phone number: 646-703-4190
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