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Contact Information

DENISE S JACKSON, PT
STEPHEN W. BASSIN, P.T., P.C.
32 SHERMAN AVE
GLEN FALLS, NY12801
 Phone: 518-793-7136
 Fax: 518-793-7142
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DENISE S JACKSON · (Female)

NPI Number 1295732071
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 07/07/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 012831-1
  • NY Medicaid 01699036
  • NY Other 000499025001 BLUESHIELD OF NE NY
  • NY Other DJ0QL58710 EMPIRE BC/BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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