Individual
JAY BAXTER X
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
880 WHITE PLAINS RD, BRONX, NY 10473-2524
(718) 239-9389
Mailing address
880 WHITE PLAINS RD, BRONX, NY 10473-2524
(718) 239-9389
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002928
NY
Other
Enumeration date
05/23/2007
Last updated
09/17/2007
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