Provider Demographics
NPI:1104083849
Name:MCKEAN, JASON MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:MICHAEL
Last Name:MCKEAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 BROOKDALE PLZ STE 152
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3139
Mailing Address - Country:US
Mailing Address - Phone:718-240-6784
Mailing Address - Fax:718-240-5808
Practice Address - Street 1:1235 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-2438
Practice Address - Country:US
Practice Address - Phone:718-240-6784
Practice Address - Fax:718-240-5025
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2020-04-29
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital