Search › New York › 2083X0100X
Jason Dickens, MD, MBA, MPH
NPI 1619269826 · on the registry since 2011
Practice
- Address
- 11050 Mt Belvedere Blvd
Fort Drum, NY 13602 - Phone
- (315) 772-6214
- Organisation at this address
- Bobbi Petranchuk
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 108
Registry record
- Primary taxonomy
- 2083X0100X
2083X0100X
- Also registered as
- 2083P0901X
208D00000X - Licence states on file
- TX, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-06
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