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

Avila T Jackson, DPM

Individual provider Primary Podiatric Medicine Podiatrist · NPI 1811196488

Avila T Jackson, DPM is a Primary Podiatric Medicine Podiatrist in Richmond Hill, New York. Licensed in Michigan and New York. Registered with an NPI since 2007.

Licensed in
MI, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

86-41 Lefferts Blvd
Richmond Hill, NY 11418
Phone: (718) 849-3338
Fax: (718) 849-3166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary) Taxonomy 213EP1101X · Licence 006459 (NY)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence 5901002248 (MI)

Record details

NPI number1811196488
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 13, 2007
Last updated in NPPESMay 31, 2012

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