person
Jackie S Avery, DPM
Foot Surgery Podiatrist in Queensbury, New York
NPI 1134225063

Jackie S Avery is a Foot Surgery Podiatrist based in Queensbury, NY and is specialized in Foot Surgery. Jackie S Avery practices in Queensbury, NY and has the professional credentials of DPM. The NPI Number for Jackie S Avery is 1134225063 and holds a License No. 006408 (New York).

The current practice location address for Jackie S Avery is 161 Carey Rd, Queensbury, NY and can be reached out via phone at 518-824-8610 and via fax at 518-824-2390.

Location: 161 Carey Rd, Queensbury, NY, 12804-7880
person
Provider Profile Details
NPI Number
1134225063
Provider Name
Jackie S Avery
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
161 Carey Rd, Queensbury, NY, 12804-7880
Phone Number
518-824-8610
Fax Number
518-824-2390
Provider Enumeration Date
09/16/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03387088 05 NY
institution
Provider Business Practice Location Address Details
Address
161 Carey Rd
City
State
Zip
12804-7821
Phone Number
518-824-8610
Fax Number
518-824-2390
person
Provider Business Mailing Address Details
Address
161 Carey Rd
City
State
Zip
12804-7821
Phone Number
518-824-8610
Fax Number
518-824-2390
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
006408 (New York)
Definition
Definition to come...
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