Jackie S Avery
Foot Surgery
161 Carey Rd
Queensbury
, New York 12804-7821
Jackie S Avery
Foot Surgery
161 Carey Rd
Queensbury
, New York 12804-7821
(518) 824-2388
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Jackie S Avery
- 9 Carey Rd
- Queensbury, NY
- Zip : 12804-7880
- Fax : (518) 824-2388
- Phone : (518) 761-0300
Second Address
- Jackie S Avery
- 161 Carey Rd
- Queensbury, NY
- Zip : 12804-7821
- Fax : (518) 824-2390
- Phone : (518) 824-8610
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 006408 | NY |
National Provider Identifier
| NPI | 1134225063 |
|---|---|
| Provider Name | Jackie S Avery |
| First Address | Queensbury, NY 12804-7880 |
| Second Address | Queensbury, NY 12804-7821 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2006 |
| Last Update Date | 27/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03387088 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.