Organization
LAKE SUCCESS WOMEN'S MEDICAL CARE
Active
Organization
LAKE SUCCESS WOMEN'S MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A JASON M.D. (MEDICAL DIRECTOR)
(516) 466-3663
Entity
Organization
Contact information
Practice address
1999 MARCUS AVE, SUITE 108, NEW HYDE PARK, NY 11042-1017
(516) 466-3663
(516) 773-3201
Mailing address
1999 MARCUS AVE, SUITE 108, NEW HYDE PARK, NY 11042-1017
(516) 466-3663
(516) 773-3201
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/14/2007
Last updated
06/29/2009
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