Individual
DR. JAY BIENENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
165 TAYLOR ST, BROOKLYN, NY 11211-7182
(718) 599-0753
Mailing address
165 TAYLOR ST, BROOKLYN, NY 11211-7182
(718) 599-0753
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
004939
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01258731
—
NY
Enumeration date
12/05/2006
Last updated
01/30/2008
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