AVILA JACKSON, DPM
Primary Podiatric Medicine Podiatrist · RICHMOND HILL, NY
Individual Active NPI 1811196488
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | ✓ | 006459 | NY |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 5901002248 | MI |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.