MICHAEL E. JACKSON

BROOKLYN, NY
NPI1912991019
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: NY  177618-1)
Enumeration Date2005-09-02
Last Update Date2015-09-04
Business Address
Dr. MICHAEL E. JACKSON M.D.
55 GREENE AVE 2D/2E
BROOKLYN, NY 11238-6406
Phone number: 718-623-2783
Mailing Address
Dr. MICHAEL E. JACKSON M.D.
55 GREENE AVE SUITES 2D/2E
BROOKLYN, NY 11238
Phone number: 718-623-2783