National Provider Identifier
Jackson Mar, MSR
Jackson Mar, MSR is listed in the NPPES registry with a primary specialty of Counselor in Hamburg, NY and a listed phone number of (716) 646-4991.
Profile Overview
- NPI
- 1417590746
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- October 18, 2019
- Last Updated
- October 18, 2019
Practice Location
- 140 Pine St.,
- Hamburg, NY 14075
Phone: (716) 646-4991
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1417590746
- Entity Type
- Individual
- Last Name
- Mar
- First Name
- Jackson
- Credential
- MSR
- Mailing Street Address
- 140 Pine St.,
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075
- Mailing Country
- US
- Practice Street Address
- 140 Pine St.,
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075
- Practice Country
- US
- Practice Phone
- (716) 646-4991
- Practice Fax
- (716) 464-4990
- Enumeration Date
- October 18, 2019
- Last Updated
- October 18, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)