Individual
DR. JOSEPH M JAYAWARDENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
407 GIDNEY AVE, NEWBURGH, NY 12550-3702
(845) 561-1969
(845) 561-1921
Mailing address
407 GIDNEY AVE, NEWBURGH, NY 12550-3702
(845) 561-1969
(845) 561-1921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039098
NY
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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