Individual
DR. JAKE A HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 SMITH HAVEN MALL STE 202, LAKE GROVE, NY 11755-1219
(631) 444-5858
(631) 444-1899
Mailing address
4 SMITH HAVEN MALL STE 202, LAKE GROVE, NY 11755-1219
(631) 444-5858
(631) 444-1899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
325335
NY
Other
Enumeration date
03/31/2020
Last updated
08/23/2023
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