Individual
JASON LAYUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 MCKINLEY DR, MASTIC BEACH, NY 11951-7213
(718) 534-0689
Mailing address
123 MCKINLEY DR, MASTIC BEACH, NY 11951-7213
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307347
NY
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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