Individual
DR. JASON ELWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 RED JACKET ST, STONY BROOK PEDIATRICS, DANSVILLE, NY 14437-9502
(585) 335-5200
(585) 335-5037
Mailing address
22 RED JACKET ST, STONY BROOK PEDIATRICS, DANSVILLE, NY 14437-9502
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
256943
NY
Other
Enumeration date
03/19/2007
Last updated
11/21/2011
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