Provider Demographics
NPI:1184835035
Name:GONSKY, JASON PARKER (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:PARKER
Last Name:GONSKY
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:451 CLARKSON AVE FL 7 A BLDG
Mailing Address - Street 2:KINGS COUNTY HOSPITAL CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2054
Mailing Address - Country:US
Mailing Address - Phone:718-245-2770
Mailing Address - Fax:718-245-3808
Practice Address - Street 1:451 CLARKSON AVE BUILDING A FL 7
Practice Address - Street 2:KINGS COUNTY HOSPITAL CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2054
Practice Address - Country:US
Practice Address - Phone:718-245-2770
Practice Address - Fax:718-245-3808
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2009-08-14
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Provider Licenses
StateLicense IDTaxonomies
NY236096207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILI233689Medicare UPIN