Individual
DR. JASON MOSS FRITZHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1776 BROADWAY FL 5, NEW YORK, NY 10019-2002
(212) 757-1157
(212) 757-7197
Mailing address
10 CHARLOTTE ST, WHITE PLAINS, NY 10606-3418
(212) 757-1157
(212) 757-7197
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
212969
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212969
NYS LICENSE #
NY
Enumeration date
03/19/2007
Last updated
07/08/2007
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