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Individual

DR. JASON IAN PAPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C., C.C.S.P.

Contact information

Practice address
66 AUSTIN BLVD, COMMACK, NY 11725-5733
(631) 664-2781
(631) 858-2901
Mailing address
66 AUSTIN BLVD, COMMACK, NY 11725-5733
(631) 664-2781
(631) 670-6730

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X-008815
NY

Other

Enumeration date
11/21/2006
Last updated
03/06/2015
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