Doctor Name: | DR. JASON M HUSTON |
NPI Number: | 1124288915 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 269667 |
Business Practice Address: | 47 New Scotland Ave Dept Of Radiology Albany, NY - 122083412 |
Business Phone Number: | 5182623277 |
Business Fax Number: | 5192624210 |
Mailing Address: | 711 Troy Schenectady Rd, Suite 203 LATHAM |
State: | NY |
Postal Code: | 121102442 |
Phone Number: | 5187823700 |
Fax Number: | 5187823799 |
NPI Enumeration Date: | 06/15/2008 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 269667 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |