Organization
JEFFREY D HAIMSON DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D HAIMSON DMD (OWNER)
(718) 429-0440
Entity
Organization
Contact information
Practice address
8306 NORTHERN BLVD, JACKSON HEIGHTS, NY 11372-1460
(718) 429-0440
(718) 429-0342
Mailing address
83 06 NORTHERN BOULEVARD, JACKSON HEIGHTS, NY 07054-1460
(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
06/09/2008
Last updated
06/09/2008
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