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Contact Information

JAY B ENDEN, MD
301 E MAIN ST
BAY SHORE, NY11706-8408
 Phone: 631-968-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JAY B ENDEN · (Male)

NPI # 1972606192
Status Active
Credentials MD
Entity Individual
Enumeration date 09/06/2006
Last updated 10/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 167268
  • NY Medicaid 01139793
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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