Individual
DR. JASON DZIAK
Active
Individual
DR. JASON DZIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2008-00095
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026150501
UNIVERA PROV#
NY
05
—
00372225
—
NY
05
—
02168069
—
NY
01
—
050081548
RAILROAD MEDICARE#
NY
01
—
2222
BLUE SHIELD GROUP#
NY
01
—
7341237
AETNA
NY
01
—
G0189393590
BLUE CHOICE GROUP#
NY
01
—
MDG325
PREFERRED CARE
NY
01
—
P010221884
BLUE CHOICE PROV#
NY
Enumeration date
07/10/2006
Last updated
11/06/2018
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