Individual
DR. JASON LEROY HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7780
Mailing address
52 MAIN ST, BEDFORD HILLS, NY 10507-1814
(914) 666-2220
(914) 666-2987
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2009021866
MO
2085R0202X
Diagnostic Radiology Physician
223707
NY
2085R0202X
Diagnostic Radiology Physician
MD210002640
DC
Other
Enumeration date
11/18/2005
Last updated
06/20/2025
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