Individual
DR. JACK NASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
580 SUNRISE HWY, WEST BABYLON, NY 11704-6003
(631) 321-7697
(631) 321-6140
Mailing address
580 SUNRISE HWY, WEST BABYLON, NY 11704-6003
(631) 321-7697
(631) 321-6140
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
128697
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00381388
—
NY
Enumeration date
08/12/2006
Last updated
09/22/2008
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