| David Ira Jackson, PA | |
|
101 Hospital Road, Medical Center, Patchogue, NY 11772 | |
| (631) 687-2953 | |
| (610) 617-6280 |
| Full Name | David Ira Jackson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 101 Hospital Road, Patchogue, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013950302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 005486 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David Ira Jackson, PA Po Box 13700-1378, Brookhaven Memorial Hospital Er, Philadelphia, PA 19191-1378 Ph: (800) 666-2455 | David Ira Jackson, PA 101 Hospital Road, Medical Center, Patchogue, NY 11772 Ph: (631) 687-2953 |
Joanna Tutrone, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 155 E Woodside Ave, Patchogue, NY 11772 Phone: 631-758-6565 Fax: 631-758-6568 | |
Courtney Bofinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 | |
Annette Pope-morris, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 | |
Theresa Rosko, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 | |
Miss Stephanie Salinas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 65 E Woodside Ave, Patchogue, NY 11772 Phone: 631-317-9364 | |
Ms. Kathryn Elizabeth Walton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 |