Individual
DR. JAY KENNETH MEHLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11412 BEACH CHANNEL DR STE 10, ROCKAWAY PARK, NY 11694-2212
(718) 318-0800
(718) 318-0440
Mailing address
949 NORTHFIELD RD, WOODMERE, NY 11598-1663
(718) 318-0800
(718) 318-0440
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
201048
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02115704
—
NY
Enumeration date
11/07/2005
Last updated
02/06/2026
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