Jason Mcgowan

NPI #1265262323 in Lindenhurst, New York

Provider Information

NPI Number: 1265262323
Entity Type: Individual
Name: Jason Mcgowan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 5, 2024
Last Updated: Aug 5, 2024

Practice Location

Address: 54 E MINERVA RD
City: Lindenhurst
State: New York
ZIP Code: 11757-6819
Phone: (631) 875-0803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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