Individual
DR. JAY R SHAYEVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 GARDEN CITY PLZ STE 330, GARDEN CITY, NY 11530-3331
(833) 330-6334
Mailing address
111 E 210TH ST, MONTEFIORE MEDICAL CENTER, BRONX, NY 10467-2401
(718) 920-4316
(718) 881-2245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
143091
NY
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
143091
NY
2080B0002X
Pediatric Obesity Medicine Physician
143091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000928448001
BS WNY/HEALTHNOW
NY
01
—
MDJ230
PREFERRED CARE
NY
Enumeration date
07/12/2006
Last updated
11/30/2018
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