Individual
JAY ISAAC GRUENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1800 ROCKAWAY AVE, SUITE 204, HEWLETT, NY 11557-1665
(516) 569-5868
Mailing address
1800 ROCKAWAY AVE, SUITE 204, HEWLETT, NY 11557-1665
(516) 569-5868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
036766
NY
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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