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Individual

DR. JASON ADAM FELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
70 GILBERT ST, SUITE 103, MONROE, NY 10950-1538
(845) 782-8616
Mailing address
70 GILBERT ST, SUITE 103, MONROE, NY 10950-1538
(845) 782-8616

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
211532
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02068486
NY
Enumeration date
01/11/2007
Last updated
07/08/2007
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