Individual
DR. JAY LAWRENCE HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
809 NY-208, MONROE, NY 10950
(845) 782-5040
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7642
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064237
NY
122300000X
Dentist
14042
CT
Other
Enumeration date
04/03/2023
Last updated
09/09/2024
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