Individual
MR. JASON EDDIE THOMAS JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTER NURSE
Contact information
Practice address
11244 178TH ST, ADDISLEIGH PARK, NY 11433-4118
(917) 559-7802
Mailing address
11244 178TH ST, ADDISLEIGH PARK, NY 11433-4118
(917) 559-7802
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
478591
NY
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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