Individual
DR. JEFFREY ETHAN MAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 STEWART AVE, GARDEN CITY, NY 11530-4892
(516) 536-2800
(516) 992-4637
Mailing address
450 CLARKSON AVE, BOX 30, BROOKLYN, NY 11203-2012
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
282183
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
282183
NY
Other
Enumeration date
04/08/2011
Last updated
05/16/2024
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