Jackie S Avery is a Foot Surgery in Queensbury, New York. Jackie S Avery practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Jackie S Avery is 1134225063. The last update date is 2022-11-30.
Jackie S Avery's current location address is 161 Carey Rd, Queensbury, New York. You can contact this provider via phone number 5188248610 and fax number 5188242390. The mailing address for Jackie S Avery is 161 Carey Rd, Queensbury, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie S Avery |
|---|---|
| Address | 161 Carey Rd, Queensbury, New York |
| Phone Number | 5188248610 |
| Fax Number | 5188242390 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1134225063 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2022-11-30 |
Provider Mailing Address Detail
| Address | 161 Carey Rd |
|---|---|
| City | Queensbury |
| State | New York (NY) |
| Post Code | 128047821 |
| Phone Number | 5188248610 |
| Fax Number | 5188242390 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | 6408 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3387088 | NY | -- |
Post Comment/ Review Below
What is the Jackie S Avery's unique identification number?
The Jackie S Avery has been assigned the NPI (National Provider Identifier) Number 1134225063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jackie S Avery's facilities are geographically located?
The facilities of Jackie S Avery are physically situated at the following location: 161 Carey Rd, Queensbury, NY, 128047821.
What is Jackie S Avery's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jackie S Avery is Foot Surgery, and the corresponding taxonomy classification code for this specialized field is 213Es0131X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134225063 to Jackie S Avery?
The Centers for Medicare & Medicaid Services assigned the 1134225063 to Jackie S Avery on 2006-09-16.
As of what date were the Jackie S Avery's details last updated?
The information pertaining to the Jackie S Avery, including its address, specialty, and other details, was most recently updated on 2022-11-30.
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