DR. Keith Ryan Jackson M.D.

  • NPI 1124116041
According to our database, the NPI number for DR. Keith Ryan Jackson M.D. is 1124116041 and activated since 17 years ago. DR. Keith Ryan Jackson M.D. is an individual provider who specializes in Dermatology, and the primary practice location is 11 Ralph Pl, Staten Island, NY 10304. You can also contact DR. Keith Ryan Jackson M.D. via telephone number is (718) 727-1331. Provider NPI information was last updated on 05/28/2013.

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Overview of DR. Keith Ryan Jackson M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/10/2006
  • Last updated: 05/28/2013

Primary Scrop of Practice

  • Taxonomy Code: 207N00000X
  • Specialty: Dermatology
  • License Number: 212165
  • License State: NY

Provider Mailing Address

  • Address: 11 Ralph Pl
    Suite 209
    Staten Island, NY 10304
  • Phone: 718-727-1331
  • Fax: 718-727-2159

Provider Practice Location

  • Address: 11 Ralph Pl
    Suite 209
    Staten Island, NY 10304
  • Phone: 718-727-1331
  • Fax: 718-727-2159

Scope of Practice

  • Taxonomy Code: 207N00000X
  • Specialty: Dermatology
  • License Number: 212165
  • License State: NY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 02239307
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NY
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Keith Ryan Jackson M.D.?
  • A: The npi number for DR. Keith Ryan Jackson M.D. is 1124116041.
  • Q: What are DR. Keith Ryan Jackson M.D.'s specialties?
  • A: DR. Keith Ryan Jackson M.D.'s specialties are Dermatology and different specialities.
  • Q: What is the medical license for DR. Keith Ryan Jackson M.D.?
  • A: The medical license number for DR. Keith Ryan Jackson M.D. is 212165 and issued in NY in USA.
  • Q: Where is DR. Keith Ryan Jackson M.D. practice location?
  • A: DR. Keith Ryan Jackson M.D. is practicing at 11 Ralph Pl, Staten Island, NY 10304.
  • Q: How to contact DR. Keith Ryan Jackson M.D.?
  • A: You can contact DR. Keith Ryan Jackson M.D. via 718-727-1331.