Organization
JASON S. APPLEBAUM, MD, PC
Active
Other names
shade dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON APPLEBAUM MD (DIRECTOR)
(917) 696-3923
Entity
Organization
Contact information
Practice address
500 N BROADWAY, JERICHO, NY 11753-2127
(917) 696-3954
(812) 461-0425
Mailing address
104 CLOVER DR, GREAT NECK, NY 11021-1030
(812) 461-0425
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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