Keith Ryan Jackson Md Pc

  • 1326216847 NPI Number
  • |
  • Actived: 16 years ago
  • |
Keith Ryan Jackson Md Pc is a health care provider based in Staten Island, NY. The NPI Number is 1326216847 and it has been active since 16 years ago. The specialty is Dermatology, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Dermatology services, Keith Ryan Jackson Md Pc is an excellent option. We are here to help you get the care you need.

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Overview of Keith Ryan Jackson Md Pc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 02/19/2008
  • Last updated: 05/29/2013

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

Authorized Official

  • Name: DR. Keith Ryan Jackson M.D.
  • Position/Title: President
  • Telephone Number: 718-727-1331

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 Keith Ryan Jackson Md Pc?
  • A: The npi number for Keith Ryan Jackson Md Pc is 1326216847.
  • Q: What are Keith Ryan Jackson Md Pc's specialties?
  • A: Keith Ryan Jackson Md Pc's specialties are Dermatology and different specialities.
  • Q: Where is Keith Ryan Jackson Md Pc business practice location?
  • A: Keith Ryan Jackson Md Pc business practice location is 11 Ralph Pl, Staten Island, NY 10304.
  • Q: How to contact Keith Ryan Jackson Md Pc?
  • A: You can contact Keith Ryan Jackson Md Pc via 718-727-1331.
  • Q: What is the authorized official for Keith Ryan Jackson Md Pc?
  • A: The authorized office name is DR. Keith Ryan Jackson M.D. with position/title is President and you can reach the authorized official via phone number 7187271331.
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