Healthcare Provider Details

I. General information

NPI: 1831727635
Provider Name (Legal Business Name): JASON DONALD GILBERT DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E ADAMS ST
SYRACUSE NY
13210-1834
US

IV. Provider business mailing address

600 E GENESEE ST STE 323
SYRACUSE NY
13202-3108
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-4460
  • Fax:
Mailing address:
  • Phone: 315-671-6059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number336346
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number336346
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: