Individual provider · Type 1 NPI

Jason Back, MD

Student in an Organized Health Care Education/Training Program · Syracuse, NY

NPI number 1376881003 Active

Practice location

750 E Adams St
Syracuse, NY 13210-2342

Call (315) 464-5136 Map

Mailing address

126 Jamesville Ave Apt N5
Syracuse, NY 13210-3244

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376881003

Jason Back, MD's National Provider Identifier is 1376881003, issued on Jan 31, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Syracuse, NY. The record was last updated on Jan 31, 2013.