# JEET BHAIDASNA MEDICAL CARE PC

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

## Provider details

- **NPI number:** 1982121810
- **Authorized official:** JEET BHAIDASNA DO (OWNER)
- **Authorized official phone:** (516) 712-7650

## Contact information

- **Practice address:** 64 COUNTY ROAD 39, SOUTHAMPTON, NY 11968-5215
- **Practice address phone:** (631) 702-1000
- **Mailing address:** 8 HOLIDAY CT, HAMPTON BAYS, NY 11946-2690
- **Mailing address phone:** (516) 712-7650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 282447-1 | NY | Yes |

## Other

- **Enumeration date:** 08/22/2017
- **Last updated:** 08/22/2017