Doctor Name: | DR. ROBERT ALAN JASON |
NPI Number: | 1295739175 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 162749-1 |
Business Practice Address: | 1999 Marcus Ave Ste 108 New Hyde Park, NY - 110421017 |
Business Phone Number: | 5164663663 |
Business Fax Number: | 5167733201 |
Mailing Address: | 1999 Marcus Ave, Ste 108 NEW HYDE PARK |
State: | NY |
Postal Code: | 110421017 |
Phone Number: | 5164663663 |
Fax Number: | 5167733201 |
NPI Enumeration Date: | 06/09/2005 |
NPI Last Update Date: | 06/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 162749-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |