Individual
DR. ROBERT ALAN JASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1999 MARCUS AVE, STE 108, NEW HYDE PARK, NY 11042-1017
(516) 466-3663
(516) 773-3201
Mailing address
1999 MARCUS AVE, STE 108, NEW HYDE PARK, NY 11042-1017
(516) 466-3663
(516) 773-3201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
162749-1
NY
207VG0400X
Gynecology Physician
Primary
162749-1
NY
Other
Enumeration date
06/09/2005
Last updated
06/29/2009
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