Individual
DR. BARRY JASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 BARSTOW RD, SUITE P-18, GREAT NECK, NY 11021-3501
(516) 767-0900
(516) 767-3285
Mailing address
1 BARSTOW RD, SUITE P-18, GREAT NECK, NY 11021-3501
(516) 767-0900
(516) 767-3285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32388
NY
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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