Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jason Back, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376881003

Dr. Jason Back, MD is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2342
Phone: (315) 464-5136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1376881003
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 31, 2013
Last updated in NPPESJanuary 31, 2013
Mailing address126 Jamesville Ave Apt N5, Syracuse, NY 13210-3244

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