DR. Jason D Idelson, D.O

NPI #1124287958 in Roslyn, New York

Provider Information

NPI Number: 1124287958
Entity Type: Individual
Name: DR. Jason D Idelson, D.O
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: D.O
Enumeration Date: Jun 6, 2008
Last Updated: Oct 21, 2011

Practice Location

Address: 100 PORT WASHINGTON BLVD.
Address 2: DEPT. OF EMERGENCY MEDICINE
City: Roslyn
State: New York
ZIP Code: 11576-1347
Phone: (516) 562-6605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

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