Individual
DR. JASON STAAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
281 1ST AVE E 16TH ST BETH ISRAEL MEDICAL CENTER, NY, NY 10003
(212) 420-2834
(212) 844-7659
Mailing address
BETH ISRAEL MEDICAL CENTER, 1ST AVE AT 16TH ST, NY, NY 10003
(212) 420-2834
(212) 844-7659
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
0134371
NY
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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