Individual
JASON FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8963
(516) 663-8964
Mailing address
259 1ST ST, MINEOLA, NY 11501-3957
(347) 554-0292
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
302155
NY
Other
Enumeration date
04/07/2017
Last updated
10/17/2022
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