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Organization
J FORD MEDICAL PC
Active
Organization
J FORD MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON FORD MD (PRESIDENT)
(347) 554-0292
Entity
Organization
Contact information
Practice address
5444 LITTLE NECK PKWY, LITTLE NECK, NY 11362-2201
(347) 395-6424
Mailing address
20 HOOPER CT, EAST NORTHPORT, NY 11731-4914
(516) 848-0331
(516) 750-4029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05996929
—
NY
Enumeration date
12/30/2022
Last updated
12/30/2022
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