Individual
DR. JASON DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 689-8333
Mailing address
759 LINWOOD ST, BROOKLYN, NY 11208-4436
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
633212
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7590
—
NY
Enumeration date
01/23/2023
Last updated
05/21/2024
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