Individual
JASON MCGRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10021-1850
(212) 434-3000
Mailing address
14946 16TH RD, WHITESTONE, NY 11357-2538
(917) 664-5891
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008890
NY
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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