Krystal Jackson
Krystal Jackson is a Specialist in New York, New York. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
116 W 32nd StNew York, NY 10001-3212
Phone: (212) 564-2350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1437733599 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 5, 2021 |
| Last updated in NPPES | May 5, 2021 |
| Certification date | May 5, 2021 |
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