Individual
DR. JACK OATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 TECHNOLOGY DR, SUITE 150, EAST SETAUKET, NY 11733-4080
(631) 941-1400
(631) 941-1476
Mailing address
825 E GATE BLVD, STE 111, GARDEN CITY, NY 11530-2124
(516) 804-5200
(516) 240-6540
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
170024
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01550090
—
NY
Enumeration date
06/13/2005
Last updated
09/17/2019
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