EILEEN JACKSON

COMMACK, NY
NPI1124555271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NY  341567)
Enumeration Date2017-05-20
Last Update Date2017-05-20
Business Address
EILEEN JACKSON NP
650 COMMACK RD
COMMACK, NY 11725-5404
Phone number: 631-623-4000
Mailing Address
EILEEN JACKSON NP
255 MCKINLEY TER
CENTERPORT, NY 11721-1311
Phone number: 631-327-7026
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