Organization
JAY C NECKRITZ DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY C NECKRITZ DDS (PRESIDENT)
(718) 763-5200
Entity
Organization
Contact information
Practice address
5402 FLATLANDS AVE, BROOKLYN, NY 11234-2406
(718) 763-5200
Mailing address
5402 FLATLANDS AVE, BROOKLYN, NY 11234-2406
(718) 763-5200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
026028
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000449535
UNITED CONCORDIA
—
05
—
00298288
—
NY
Enumeration date
11/15/2006
Last updated
07/29/2014
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