Individual
DR. JASON MOSHE B SHUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 681-3000
(914) 682-6403
Mailing address
210 WESTCHESTER AVE, 3RD FL, WHITE PLAINS, NY 10604-2901
(914) 681-3146
(914) 682-6403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
236383
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02677609
—
NY
01
—
133884168
HIP
NY
Enumeration date
02/10/2006
Last updated
10/15/2013
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