David Stevens Jackson in Glens Falls - Internal Medicine
David Stevens Jackson - NPI 1144219833
David Stevens Jackson is a Internal Medicine in Glens Falls, New York. David Stevens Jackson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for David Stevens Jackson is 1144219833. The last update date is 2008-06-03.
David Stevens Jackson's current location address is Po Box 304, Glens Falls, New York. You can contact this provider via phone number 5189266992 and fax number 5189266983. The mailing address for David Stevens Jackson is Po Box 304, Glens Falls, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Stevens Jackson |
|---|---|
| Address | Po Box 304, Glens Falls, New York |
| Phone Number | 5189266992 |
| Fax Number | 5189266983 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1144219833 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2008-06-03 |
Provider Mailing Address Detail
| Address | Po Box 304 |
|---|---|
| City | Glens Falls |
| State | New York (NY) |
| Post Code | 128010304 |
| Phone Number | 5189266992 |
| Fax Number | 5189266983 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 120359 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 359504 | NY | -- | |
| P00010321 | NY | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to David Stevens Jackson by the Centers for Medicare & Medicaid Services?
The David Stevens Jackson has been issued the NPI (National Provider Identifier) 1144219833, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where David Stevens Jackson is physically located?
The David Stevens Jackson is physically situated at the following address: Po Box 304, Glens Falls, NY, 128010304.
What is David Stevens Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Stevens Jackson is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did David Stevens Jackson receive its 1144219833 assignment from the Centers for Medicare & Medicaid Services?
The David Stevens Jackson was assigned its 1144219833 on 2005-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to David Stevens Jackson most recently updated or revised?
The details related to David Stevens Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-03.