Individual provider · NPI-1

Jason Ford, MD

Hospitalist · Mineola, NY

NPI number1871026708
StatusActive
Last updated in NPPESOct 17, 2022

Details

NPI
1871026708
Entity type
Individual (NPI-1)
Name
Jason Ford
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 7, 2017
Certification date
Oct 17, 2022
Last updated
Oct 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist302155NYYes

Practice location

259 1st St
Mineola, NY 11501-3957

Phone 516-663-8963 · Fax 516-663-8964

Mailing address

259 1st St
Mineola, NY 11501-3957

Phone 347-554-0292

Other practice locations

300 Community Dr
Manhasset, NY 11030-3816

Phone 516-562-0100

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