NPI 1871750463

Condii Q Jackson, DPM

Practitioner Podiatric Assistant West Islip, NY

Practice location

Address: 1000 Montauk Hwy, West Islip, NY 11795-4927
Phone: (631) 376-6000

Registered specialties

Podiatric Assistant Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 211D00000X

Other Assistant, Podiatric providers in New York →

Registry record

NPI: 1871750463
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2008
Record last updated: 21 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.