Individual
JAY M PURVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
336 CEDAR LN, EAST MEADOW, NY 11554-2714
(516) 489-1950
(516) 489-6861
Mailing address
336 CEDAR LN, EAST MEADOW, NY 11554-2714
(516) 489-1950
(516) 489-6861
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00167000
NJ
213E00000X
Podiatrist
Primary
NO002971-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00406217
—
NY
05
—
0758507
—
NJ
Enumeration date
07/21/2005
Last updated
02/15/2011
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