MS. JUDITH SADIAN SMITH-JACKSON RN
NPI 1033475637
Registered Nurse - Medical-Surgical in Staten Island, NY
Active since April 09, 2012
546B BUCHANAN AVE, STATEN ISLAND, NY 10314(718) 782-0589(718) 384-7715 Get Directions Write a Review
About Ms. Judith Sadian Smith-jackson Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JUDITH SADIAN SMITH-JACKSON RN (NPI 1033475637) is an individual medical-surgical provider in Staten Island, New York, licensed in New York (517231-1) and active in the NPI registry since April 2012.
NPPES Registry Identity
NPI1033475637
Entity TypeIndividualFemale
Primary Taxonomy163WM0705X
Provider Legal NameMS. JUDITH SADIAN SMITH-JACKSONCredential: RN
Location Address546B BUCHANAN AVEStaten Island, NY 10314-4159
Mailing Address546b Buchanan AveStaten Island, NY 10314 · (718) 782-0589 · Fax (718) 384-7715
Phone(718) 782-0589
Fax(718) 384-7715
Sole ProprietorYes
Enumeration DateApril 9, 2012
✔ NPI 1033475637 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License✔ Licensed in NY · 517231-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 517231-1 (NY)
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 517231-1 (NY)
546B BUCHANAN AVE, Staten Island, NY 10314
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033475637, enumerated as an "individual" on April 09, 2012.
The provider is located at 546B BUCHANAN AVE STATEN ISLAND, NY 10314 and the phone number is (718) 782-0589.
Registered Nurse with taxonomy code 163WM0705X and a focus in Medical-Surgical.
