# JAY ITZKOWITZ MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023559747
- **Authorized official:** DR. JAY ITZKOWITZ MD (MD)
- **Authorized official phone:** (917) 848-0085

## Contact information

- **Practice address:** 546 LINDNER PL, WEST HEMPSTEAD, NY 11552-3141
- **Practice address phone:** (917) 848-0085
- **Mailing address:** 546 LINDNER PL, WEST HEMPSTEAD, NY 11552-3141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 229040 | NY | Yes |

## Other

- **Enumeration date:** 03/14/2017
- **Last updated:** 03/14/2017