JASON BACK

SYRACUSE, NY
NPI1376881003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-01-31
Last Update Date2013-01-31
Business Address
Dr. JASON BACK MD
750 E ADAMS ST
SYRACUSE, NY 13210-2342
Phone number: 315-464-5136
Mailing Address
Dr. JASON BACK MD
126 JAMESVILLE AVE APT N5
SYRACUSE, NY 13210-3244
Phone number: