SearchNew York164W00000X

Jason Parris

NPI 1023732658 · on the registry since 2022 · sole proprietor

Practice

Address
4 Eliot Dr
Lake Grove, NY 11755
Phone
(631) 285-3105

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York