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Individual

DR. JASON STEPHEN OGISTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1789 MADISON AVE, NEW YORK, NY 10035-4537
(212) 348-6001
(212) 348-6067
Mailing address
PO BOX 7821, NEW YORK, NY 10116-7821
(212) 348-6001
(212) 348-6067

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
242427
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02826617
NY
Enumeration date
11/22/2006
Last updated
08/02/2019
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