Individual
DR. JEFFREY STUART BLYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
29 HAMLET DR, COMMACK, NY 11725-4435
(516) 660-0504
Mailing address
29 HAMLET DR, COMMACK, NY 11725-4435
(516) 660-0504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
032638-1
NY
Other
Enumeration date
07/29/2009
Last updated
02/28/2019
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