What is Condii Jackson's NPI number?

The NPI number assigned to this healthcare provider is 1871750463, enumerated as a individual on May 21, 2008.

Where is the provider located?

The provider is located at 1000 MONTAUK HWY WEST ISLIP, NY 11795 and the phone number is (631) 376-6000.

What is the provider's specialty?

The provider's specialty is Assistant, Podiatric with taxonomy code 211D00000X.

DR. CONDII Q JACKSON DPM - NPI 1871750463 - Assistant, Podiatric in West Islip, NY

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About Dr. Condii Q Jackson Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CONDII Q JACKSON DPM (NPI 1871750463) is an individual assistant, podiatric provider in West Islip, New York and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1871750463

Entity TypeIndividualFemale

Primary Taxonomy211D00000X

Provider Legal NameDR. CONDII Q JACKSONCredential: DPM

Location Address1000 MONTAUK HWYWest Islip, NY 11795-4927

Mailing Address1000 Montauk HwyWest Islip, NY 11795-4927 · (631) 376-6000

Phone(631) 376-6000

Sole ProprietorNo

Enumeration DateMay 21, 2008

✔ NPI 1871750463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssistant, PodiatricPodiatric Medicine & Surgery Service Providers

Taxonomy Code211D00000X

Definition

An individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; providing the patient with postoperative instructions; applying surgical dressings; preparing the patient for treatment, padding, and strapping; and performing routine office procedures.

1000 MONTAUK HWY, West Islip, NY 11795

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