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Organization

JAY W ENEMAN MD, PC

Active
Other names
BRIDGE REHABILITATION & MUSCULOSKELETAL CARE
Organization subpart
No

Provider details

NPI number
Authorized official
JAY W ENEMAN M.D. (PRESIDENT)
(516) 897-9000
Entity
Organization

Contact information

Practice address
780 LONG BEACH BLVD, LONG BEACH, NY 11561-2238
(516) 897-9000
(516) 897-9827
Mailing address
PO BOX 330, WOODMERE, NY 11598-0330
(516) 897-9000
(516) 897-9827

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
132580
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00492526
NY
Enumeration date
03/19/2007
Last updated
02/28/2008
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