Harry Jackson MD PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

511301 Issued in NY

Legal business name

HARRY JACKSON MD PC

Practice address

140 Alcott PL
Bronx, NY 10475-4302

Phone

(718) 379-4444

NPI assigned

Jan 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Harry Jackson

Title

Sole Proprieter

Phone

(718) 379-4444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1265411474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NETHERLAND AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634801",
            "telephone_number": "718-379-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ALCOTT PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754302",
            "telephone_number": "718-379-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY JACKSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "718-379-4444"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "511301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00196483",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth-Ann Alexi Harrison, FNP-BC
• Stephen Barre Harrison, DDS
• Steven James Harrison
• William Harrison
• Amanda Rivka Harroch, MD
• Bertram Harry, PA-C
• Valina Harry
• Harrys Nurses Registry Inc
• James Hart
• Sheryl Annette Hart

• Legal Medicine in Bronx, NY
• Providers in Bronx, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.