ILISSA D. JACKSON

NEW YORK, NY
NPI1609838358
Other NameILISSA REIHS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  23-015052)
Additional Taxonomies363A00000X Physician Assistant
(Licence: FL  PA9103627)
Enumeration Date2006-04-06
Last Update Date2012-04-12
Business Address
-- ILISSA D. JACKSON PA-C
100 EAST 77TH ST LENOX HILL HOSPITAL-NSLIJHS
NEW YORK, NY 10075
Phone number: 516-823-8010
Mailing Address
-- ILISSA D. JACKSON PA-C
1675 YORK AVE APT 8E
NEW YORK, NY 10128-6738
Phone number: 954-937-2579