Individual
DR. JASON MATTHEW KNELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1181 OLD COUNTRY RD, SUTIE 4, PLAINVIEW, NY 11803-5018
(516) 822-7880
Mailing address
1181 OLD COUNTRY RD, SUTIE 4, PLAINVIEW, NY 11803-5018
(516) 822-7880
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
056264
NY
Other
Enumeration date
06/11/2008
Last updated
05/23/2014
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