Jason Parris
NPI #1023732658 in Lake Grove, New York
Provider Information
- NPI Number
- 1023732658
- Entity Type
- Individual
- Name
- Jason Parris
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Sep 27, 2022
- Last Updated
- Sep 27, 2022
Practice Location
- Address
- 4 ELIOT DR
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-2512
- Phone
- (631) 285-3105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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