ALICIA RENEE JACKSON

NEW YORK, NY
NPI1710381256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NY  057371-1)
Enumeration Date2014-10-13
Last Update Date2020-12-31
Business Address
ALICIA RENEE JACKSON DDS
245 5TH AVE FL 3
NEW YORK, NY 10016-8728
Phone number: 917-747-6574
Mailing Address
ALICIA RENEE JACKSON DDS
233 E JERICHO TPKE
HUNTINGTON STATION, NY 11746-7307
Phone number: 631-427-4327