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1134313364
MELANIE JACKSON
FOREST HILLS, NY
NPI
1134313364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 003328-1)
Enumeration Date
2007-08-30
Last Update Date
2007-09-11
Business Address
Mrs. MELANIE JACKSON PA-C
10201 66TH RD OB/GYN DEPT 3RD FLOOR
FOREST HILLS, NY 11375-2029
Phone number: 718-830-1030
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Mailing Address
Mrs. MELANIE JACKSON PA-C
3 COLONIAL RD
W HEMPSTEAD, NY 11552-4113
Phone number: 516-629-4243
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