Individual
DR. JAY S GOLUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
41 47 48TH ST, SUNNYSIDE, NY 11104
(718) 478-6000
Mailing address
41 47 48TH STREET, SUNNYSIDE, NY 11104
(718) 478-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045933
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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