MELANIE JACKSON

FOREST HILLS, NY
NPI1134313364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  003328-1)
Enumeration Date2007-08-30
Last Update Date2007-09-11
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
Mailing Address
Mrs. MELANIE JACKSON PA-C
3 COLONIAL RD
W HEMPSTEAD, NY 11552-4113
Phone number: 516-629-4243