Dr. Jason Ian Pape
Chiropractic Sports Physician
66 Austin Blvd
Commack
, New York 11725-5733
Dr. Jason Ian Pape
Chiropractic Sports Physician
66 Austin Blvd
Commack
, New York 11725-5733
(631) 670-6730
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Jason Ian Pape
- 66 Austin Blvd
- Commack, NY
- Zip : 11725-5733
- Fax : (631) 670-6730
- Phone : (631) 664-2781
Second Address
- Dr. Jason Ian Pape
- 66 Austin Blvd
- Commack, NY
- Zip : 11725-5733
- Fax : (631) 858-2901
- Phone : (631) 664-2781
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | X-008815 | NY |
National Provider Identifier
| NPI | 1336214022 |
|---|---|
| Provider Name | Dr. Jason Ian Pape |
| First Address | Commack, NY 11725-5733 |
| Second Address | Commack, NY 11725-5733 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/11/2006 |
| Last Update Date | 06/03/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| X6Y471 | (02) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.