Individual
JAY W ENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
780 LONG BEACH BLVD, LONG BEACH, NY 11561-2238
(516) 897-9000
(516) 897-8656
Mailing address
PO BOX 330, WOODMERE, NY 11598-0330
(516) 897-9000
(516) 897-8656
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
132580
NY
225000000X
Orthotic Fitter
132580
NY
Other
Enumeration date
06/17/2005
Last updated
06/06/2011
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