Jay William Birnbaum MD

NPI 1033209432 - Plastic Surgery - 208200000X

NPI Details
NPI 1033209432
Gender Male
Enumeration Date 10/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8268 164TH ST
JAMAICA NY, 11432-1121, US
Phone (718) 883-3225
Fax (718) 883-6193
Business Location
7901 BROADWAY
MANAGED CARE, D1-01
ELMHURST NY, 11373-1329, US
Phone (718) 334-1921
Fax (718) 334-3432
Toxanomy
Taxonomy Code 208200000X
License State New York
License Number 148693
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According to our database, Dr. Jay William Birnbaum MD NPI is 1033209432, taxonomy code is 208200000X and license number is 148693, license state is located at New York. Jay William Birnbaum MD physically located at 8268 164th St, Jamaica NY, 11432-1121. NPI Number Jay William Birnbaum MD has the Individual type.

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1033209432 NPI number is provided on an as is basis without warranty of any kind. 1033209432 is maintained by the National Plan & Provider Enumeration System. The contents of Jay William Birnbaum MD are for informational purposes only.