Individual
DR. JASON D FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
597 DEGRAW ST, BROOKLYN, NY 11217-3022
(631) 804-4630
Mailing address
568 UNION ST, SUITE 2B, BROOKLYN, NY 11215-7073
(631) 804-4630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011818-1
NY
Other
Enumeration date
02/10/2010
Last updated
03/12/2013
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