| Twana M Jackson, MD | |
|
1 Healthy Way, Oceanside, NY 11572-3834 | |
| (917) 744-2403 | |
| Not Available |
| Full Name | Twana M Jackson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1 Healthy Way, Oceanside, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245564020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 263506 (New York) | Primary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Mount Sinai School Of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508127531 PECOS PAC ID: 6406096544 Enrollment ID: O20130712000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Twana M Jackson, MD 17520 Wexford Ter, Apt 15o, Jamaica, NY 11432-2872 Ph: (917) 744-2403 | Twana M Jackson, MD 1 Healthy Way, Oceanside, NY 11572-3834 Ph: (917) 744-2403 |
Lauren Shinder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3227 Long Beach Rd, Suite1, Oceanside, NY 11572 Phone: 516-897-5000 Fax: 516-431-7519 | |
Julio Valdivieso, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-632-3000 | |
Rina Jaffe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3227 Long Beach Rd, Suite 1, Oceanside, NY 11572 Phone: 516-897-5000 Fax: 516-431-7519 | |
Dr. Josiah Petersen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-632-3000 | |
Dr. Sana Ashraf, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-632-3000 | |
Christina Dagrosa, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-632-3000 |