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General NPI Number Information
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NPI Number | 1184835035
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Entity Type | Individual
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Provider Name | JASON PARKER GONSKY M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/14/2009
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Provider Practice Location Address
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Address Line | 451 CLARKSON AVE BUILDING A FL 7 KINGS COUNTY HOSPITAL CENTER
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City | BROOKLYN
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State | NY
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Zip | 11203-2054
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Country | US
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Telephone | 718-245-2770
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Fax | 718-245-3808
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Provider Business Mailing Address
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Address Line | 451 CLARKSON AVE FL 7 A BLDG KINGS COUNTY HOSPITAL CENTER
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City | BROOKLYN
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State | NY
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Zip | 11203-2054
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Country | US
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Telephone | 718-245-2770
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Fax | 718-245-3808
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 236096
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License Number State | NY
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