Individual
DR. JAY ALLEN GARSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9705 101ST AVE, OZONE PARK, NY 11416-2523
(718) 848-0606
Mailing address
9705 101ST AVE, OZONE PARK, NY 11416-2523
(718) 848-0606
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
114166
NY
2085R0202X
Diagnostic Radiology Physician
25MA03219200
NJ
2085U0001X
Diagnostic Ultrasound Physician
114166
NY
2085U0001X
Diagnostic Ultrasound Physician
25MA03219200
NJ
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
114166
NY
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
25MA03219200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01544063
—
NY
05
—
0681202
—
NJ
Enumeration date
11/25/2005
Last updated
10/24/2007
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