Individual
DR. JAY MATTHEW NEUGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
2001 MARCUS AVE, STE. N-10, LAKE SUCCESS, NY 11042-1011
(516) 775-1818
(516) 775-0892
Mailing address
2001 MARCUS AVE, STE. N-10, LAKE SUCCESS, NY 11042-1011
(516) 775-1818
(516) 775-0892
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
046690
NY
174400000X
Specialist
218337
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
046690
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2183387
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02212444
—
NY
05
—
02238062
—
NY
Enumeration date
04/17/2006
Last updated
07/30/2007
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