Jason M Sample, M.D.

NPI #1912968298 in Flushing, New York

Provider Information

NPI Number: 1912968298
Entity Type: Individual
Name: Jason M Sample, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Mar 28, 2006
Last Updated: Sep 26, 2024

Practice Location

Address: 56-45 MAIN STREET
Address 2: W-LL300
City: Flushing
State: New York
ZIP Code: 11355-5045
Phone: (718) 445-0220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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