Individual
DR. MARC S JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
731 WOODBURY RD, WOODBURY, NY 11797-2506
(516) 496-8750
(516) 364-3884
Mailing address
731 WOODBURY RD, WOODBURY, NY 11797-2506
(516) 496-8750
(516) 364-3884
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
003245
NY
213ES0131X
Foot Surgery Podiatrist
Primary
003245
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00685649
—
NY
Enumeration date
05/31/2005
Last updated
10/26/2007
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