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1912968298
JASON M SAMPLE
FLUSHING, NY
NPI
1912968298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NY 215514)
Enumeration Date
2006-03-28
Last Update Date
2024-09-26
Business Address
JASON M SAMPLE M.D.
56-45 MAIN STREET W-LL300
FLUSHING, NY 11355-5045
Phone number: 718-445-0220
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Mailing Address
JASON M SAMPLE M.D.
56-45 MAIN STREET W-LL300
FLUSHING, NY 11355-5045
Phone number: 718-445-0220
Copy
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