Penzer, Jason

Penzer, Jason is an individual health care provider with primary practice located at 515 Madison Ave Suite 705, New York NY 10022-5403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Penzer, Jason can be contacted via phone (212) 675-2997.

Contact Information

Primary practice address
515 Madison Ave Suite 705 New York NY 10022-5403
Phone: (212) 675-2997
Fax: (212) 627-8389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 207364 New York

Profile Details

NPI number 1548245319
LBN Legal business name Penzer, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Sep 4th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548245319 NPPES
New York MEDICAID 02253592

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