TRACY LETIA JACKSON

NEW YORK, NY
NPI1154461283
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  006032-1)
Enumeration Date2007-02-07
Last Update Date2018-11-19
Business Address
Ms. TRACY LETIA JACKSON PA-C
215 W 125TH ST
NEW YORK, NY 10027-4426
Phone number: 212-939-3566
Mailing Address
Ms. TRACY LETIA JACKSON PA-C
CITY COLLEGE OF NEW YORK 160 CONVENT AVENUE
NEW YORK, NY 10031
Phone number: 212-690-1000
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