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Individual

MR. GREGORY JASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.N.I.M.

Contact information

Practice address
399 KNOLLWOOD ROAD, SUITE 108, WHITE PLAINS, NY 10603-1916
(914) 949-8501
(914) 949-8502
Mailing address
399 KNOLLWOOD ROAD, SUITE 108, WHITE PLAINS, NY 10603-1916
(914) 949-8501
(914) 949-8502

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
CNIM#2715

Other

Enumeration date
05/20/2015
Last updated
05/20/2015
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