Individual
DR. JAKE TAYLOR RELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1165 NORTHERN BLVD STE 301, MANHASSET, NY 11030-3048
(516) 365-4545
Mailing address
1165 NORTHERN BLVD STE 301, MANHASSET, NY 11030-3048
(516) 365-4545
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007262
NY
Other
Enumeration date
04/25/2019
Last updated
07/07/2022
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