Provider Demographics
NPI:1508025701
Name:PRICE, JASON BRAD (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:BRAD
Last Name:PRICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 NEW HYDE PARK ROAD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042
Mailing Address - Country:US
Mailing Address - Phone:516-488-7575
Mailing Address - Fax:516-488-7585
Practice Address - Street 1:3003 NEW HYDE PARK ROAD
Practice Address - Street 2:SUITE 307
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:516-488-7575
Practice Address - Fax:516-488-7585
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2482752080P0214X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics