Individual
DR. JASON PETER STASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8100
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020801
NY
Other
Enumeration date
03/20/2015
Last updated
03/22/2023
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