Organization
JAY D. EISENSTADT DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY EISENSTADT DDS (OWNER/DENTIST)
(718) 886-1171
Entity
Organization
Contact information
Practice address
14210 ROOSEVELT AVE, SUITE110, FLUSHING, NY 11354-6046
(718) 886-1171
(718) 886-3822
Mailing address
14210 ROOSEVELT AVE, SUITE110, FLUSHING, NY 11354-6046
(718) 886-1171
(718) 886-3822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33672
NY
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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