Individual
DR. JAY RITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
980 N BROADWAY, N MASSAPEQUA, NY 11758-2355
(516) 798-6300
Mailing address
980 N BROADWAY, N MASSAPEQUA, NY 11758-2355
(516) 798-6300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050310
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02405365
—
NY
Enumeration date
01/24/2007
Last updated
07/08/2007
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