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

Desiree Jackson

Individual provider Early Intervention Provider Agency · NPI 1699150268

Desiree Jackson is an Early Intervention Provider Agency in North Baldwin, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
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Practice location Address checks out

2127 Marion Pl
North Baldwin, NY 11510-2921
Phone: (646) 739-0985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 1773076 (NY)

Record details

NPI number1699150268
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 24, 2015
Last updated in NPPESJuly 24, 2015
Mailing address2127 Marion Pl, North Baldwin, NY 11510-2921

Other providers in North Baldwin