Individual
DR. JAY WILLIAM BRIDBORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2110 NORTHERN BLVD, MANHASSET, NY 11030-3502
(516) 627-7640
(516) 627-1211
Mailing address
65 COOPER DR, GREAT NECK, NY 11023-1908
(516) 627-7640
(516) 627-1211
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30000
NY
Other
Enumeration date
08/29/2005
Last updated
07/08/2007
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