Organization
EASTBAY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN FABRIKANT DO (DO)
(516) 308-7070
Entity
Organization
Contact information
Practice address
2307 BELLMORE AVE, BELLMORE, NY 11710-5651
(516) 308-7070
(516) 308-7071
Mailing address
2307 BELLMORE AVE, BELLMORE, NY 11710-5651
(513) 308-7070
(516) 308-7071
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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