Jackson Sky | New York, NY • PECOS Search

Jackson Sky

Social Worker

Behavioral Health & Social Service Providers

481 8th Ave # 520, New York, NY 10001-1809

(541) 515-2904 (541) 514-2904

PECOS Enrollment

Based on the most recent information from CMS, provider Jackson Sky does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:56 PM.

Profile Details

Provider ID
1639652639
Provider Type
Individual
Full Name
Sky, Jackson
Gender
Female

Sole Proprietor
No
Enumeration Date
9/14/2018
Last Updated
9/14/2018

Contact Information

Practice Location

481 8th Ave # 520, New York, NY 10001-1809

Unlisted Fax

Mailing Location

788 Woodward Ave Apt 3l, Ridgewood, NY 11385-3824

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer