Jeffrey Ethan Mait M.D.

NPI 1679863807 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1679863807
Gender Male
Enumeration Date 04/08/2011
Last Updated 04/08/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
450 CLARKSON AVE
BOX 30
BROOKLYN NY, 11203-2012, US
Phone (718) 270-2045
Fax
Business Location
450 CLARKSON AVE
BOX 30
BROOKLYN NY, 11203-2012, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Jeffrey Ethan Mait M.D. NPI is 1679863807, taxonomy code is 390200000X Jeffrey Ethan Mait M.D. physically located at 450 Clarkson Ave, Brooklyn NY, 11203-2012. NPI Number Jeffrey Ethan Mait M.D. has the Individual type.

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1679863807 NPI number is provided on an as is basis without warranty of any kind. 1679863807 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Ethan Mait M.D. are for informational purposes only.