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Starr Shalae Jackson
Family Medicine Physician in Staten Island, New York
NPI 1578197588

Starr Shalae Jackson is a Family Medicine Physician based in Staten Island, NY. Starr Shalae Jackson practices in Staten Island, NY. The NPI Number for Starr Shalae Jackson is 1578197588 and holds a License No. 345211 (New York).

The current practice location address for Starr Shalae Jackson is 2627 Hylan Blvd, Staten Island, NY and can be reached out via phone at 646-533-0990.

Location: 2627 Hylan Blvd, Staten Island, NY, 10303-2628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578197588
Provider Name
Starr Shalae Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2627 Hylan Blvd, Staten Island, NY, 10303-2628
Phone Number
646-533-0990
Fax Number
Provider Enumeration Date
02/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2627 Hylan Blvd
City
Staten Island
State
New York
Zip
10306-4344
Phone Number
646-533-0990
Fax Number
person
Provider Business Mailing Address Details
Address
2627 Hylan Blvd
City
Staten Island
State
New York
Zip
10306-4344
Phone Number
646-533-0990
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
345211 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
345211 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
345211 (New York)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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