Mary J Jackson is a Family Medicine in Manlius, New York. Mary J Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mary J Jackson is 1609851443. The last update date is 2009-06-08.
Mary J Jackson's current location address is 308 W Seneca St, Manlius, New York. You can contact this provider via phone number 3156825080 and fax number 3156828847. The mailing address for Mary J Jackson is 308 W Seneca St, Manlius, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary J Jackson |
|---|---|
| Address | 308 W Seneca St, Manlius, New York |
| Phone Number | 3156825080 |
| Fax Number | 3156828847 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1609851443 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2009-06-08 |
Provider Mailing Address Detail
| Address | 308 W Seneca St |
|---|---|
| City | Manlius |
| State | New York (NY) |
| Post Code | 131042318 |
| Phone Number | 3156825080 |
| Fax Number | 3156828847 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 154924 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique identifier code issued to Mary J Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Mary J Jackson has been assigned the NPI (National Provider Identifier) 1609851443. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mary J Jackson?
The Mary J Jackson is situated at 308 W Seneca St, in the city of Manlius, state of NY, with the zip code 131042318.
What is Mary J Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary J Jackson's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609851443 to Mary J Jackson?
The Centers for Medicare & Medicaid Services assigned the 1609851443 to Mary J Jackson on 2005-12-14.
As of what date were the details related to Mary J Jackson most recently updated or revised?
The information pertaining to Mary J Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2009-06-08.