person
Miss Nicole Jackson
Substance Use Disorder Rehabilitation Clinic/Center in Smithtown, New York
NPI 1972977825

Nicole Jackson is a Substance Use Disorder Rehabilitation Clinic/Center based in Smithtown, NY and is specialized in Rehabilitation, Substance Use Disorder. Nicole Jackson practices in Smithtown, NY. The NPI Number for Nicole Jackson is 1972977825 and holds a License No. 089076 (New York).

The current practice location address for Nicole Jackson is 11 Route 111, Smithtown, NY and can be reached out via phone at 631-920-8300. You can also correspond with Nicole Jackson through the mailing address at 11 ROUTE 111, SMITHTOWN, NY - 11787-3753 (mailing address contact number: 631-920-8300).

Location: 11 Route 111, Smithtown, NY, 11787-3753
person
Provider Profile Details
NPI Number
1972977825
Provider Name
Nicole Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
11 Route 111, Smithtown, NY, 11787-3753
Phone Number
631-920-8300
Fax Number
Provider Enumeration Date
11/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11 Route 111
City
State
Zip
11787-3753
Phone Number
631-920-8300
Fax Number
person
Provider Business Mailing Address Details
Address
11 Route 111
City
State
Zip
11787-3753
Phone Number
631-920-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
089076 (New York)
Definition
Definition to come...
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