National Provider Identifier
Clifton Jackson
Clifton Jackson is listed in the NPPES registry with a primary specialty of Non-emergency Medical Transport (VAN) in Buffalo, NY and a listed phone number of (716) 525-7921.
Profile Overview
- NPI
- 1255094389
- Provider Type
- Individual
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- October 15, 2021
- Last Updated
- October 15, 2021
Practice Location
- 37 Palos Pl
- Buffalo, NY 14215-2616
Phone: (716) 525-7921
Specialties
- Non-emergency Medical Transport (VAN) (343900000X)
Full Record
- NPI
- 1255094389
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Clifton
- Name Prefix
- Mr.
- Mailing Street Address
- 37 Palos Pl
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2616
- Mailing Country
- US
- Mailing Phone
- (716) 525-7921
- Practice Street Address
- 37 Palos Pl
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2616
- Practice Country
- US
- Practice Phone
- (716) 525-7921
- Enumeration Date
- October 15, 2021
- Last Updated
- October 15, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 15, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Non-emergency Medical Transport (VAN) (343900000X)