Individual
JEFFREY DAVID HAIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8306 NORTHERN BOULEVARD, JACKSON HEIGHTS, NY 11372
(718) 429-0440
(718) 429-0342
Mailing address
8306 NORTHERN BOULEVARD, JACKSON HEIGHTS, NY 11372
(718) 429-0440
(718) 429-0342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042896
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01221392
—
NY
Enumeration date
11/27/2006
Last updated
07/08/2007
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