Individual
JASON SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 BROADWAY STE 903, NEW YORK, NY 10003-1223
(833) 472-3474
(833) 372-3329
Mailing address
900 BROADWAY STE 903, NEW YORK, NY 10003-1223
(833) 472-3474
(833) 372-3329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
307747
NY
Other
Enumeration date
06/12/2017
Last updated
07/08/2022
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