Mr. Herman L Jackson
Physical Therapy Assistant
Physical Therapy Of Harlem 1400 5th Ave
New York City
, New York 10026
Mr. Herman L Jackson
Physical Therapy Assistant
Physical Therapy Of Harlem 1400 5th Ave
New York City
, New York 10026
(347) 680-2272
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Mr. Herman L Jackson
- 24 E 109th St Apt 1a
- New York, NY
- Zip : 10029-3472
- Phone : (347) 680-2272
Second Address
- Mr. Herman L Jackson
- Physical Therapy Of Harlem 1400 5th Ave
- New York City, NY
- Zip : 10026
- Fax : (212) 996-9686
- Phone : (212) 996-3303
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 008098 | NY |
National Provider Identifier
| NPI | 1013423391 |
|---|---|
| Provider Name | Mr. Herman L Jackson |
| First Address | New York, NY 10029-3472 |
| Second Address | New York City, NY 10026 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/12/2017 |
| Last Update Date | 21/12/2017 |
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.