Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson Dermatology PLLC

Organization Specialist · NPI 1275764011

Jackson Dermatology PLLC is a Specialist in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

55 Greene Ave Ste 2D
Brooklyn, NY 11238-1026
Phone: (914) 449-4970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 177618 (NY)

Record details

NPI number1275764011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Jackson — Owner · (914) 449-6970
NPI enumeratedJuly 28, 2009
Last updated in NPPESJuly 28, 2009
Mailing address55 Greene Ave, Suite 2d, Brooklyn, NY 11238-1026

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