Condii Q Jackson DPM

NPI 1871750463 - Assistant, Podiatric - 211D00000X

NPI Details
NPI 1871750463
Gender Female
Enumeration Date 05/21/2008
Last Updated 05/21/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1000 MONTAUK HWY
WEST ISLIP NY, 11795-4927, US
Phone (631) 376-6000
Fax
Business Location
1000 MONTAUK HWY
WEST ISLIP NY, 11795-4927, US
Phone (631) 376-6000
Fax
Toxanomy
Taxonomy Code 211D00000X
License State
License Number
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According to our database, Dr. Condii Q Jackson DPM NPI is 1871750463, taxonomy code is 211D00000X Condii Q Jackson DPM physically located at 1000 Montauk Hwy, West Islip NY, 11795-4927. NPI Number Condii Q Jackson DPM has the Individual type.

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1871750463 NPI number is provided on an as is basis without warranty of any kind. 1871750463 is maintained by the National Plan & Provider Enumeration System. The contents of Condii Q Jackson DPM are for informational purposes only.