IndividualActive
Condii Jackson, DPM
NPI 1871750463 · Podiatric Assistant · West Islip, NY
Provider details
- NPI number
- 1871750463
- Entity type
- Individual
- Primary specialty
- Podiatric AssistantPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone: (631) 376-6000
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Montauk Hwy
West Islip, NY 11795-4927
Registry dates
- Enumerated
- 2008-05-21
- Last updated
- 2008-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.