Individual
VINOD K. JAYAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 414-3235
(516) 562-6671
Mailing address
PO BOX 151, PORT WASHINGTON, NY 11050-0151
(516) 629-2468
(631) 465-6524
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
232083
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02622466
—
NY
Enumeration date
01/02/2007
Last updated
10/21/2014
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