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Individual

DR. JAY STEVEN GARREL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
5713 16TH AVE, BROOKLYN, NY 11204-1811
(718) 435-1818
Mailing address
575 GRANT PLACE, CEDARHURST, NY 11516
(718) 435-1818

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047667
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
047667
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01866302
NY
Enumeration date
12/19/2006
Last updated
08/01/2012
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