Enden, Jay Brian

Enden, Jay Brian is an individual health care provider with primary practice located at 301 E Main St , Bay Shore NY 11706-8408. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Enden, Jay Brian can be contacted via phone (631) 968-3000.

Contact Information

Primary practice address
301 E Main St Bay Shore NY 11706-8408
Phone: (631) 968-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 167268 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 167268 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 167268 New York

Profile Details

NPI number 1972606192
LBN Legal business name Enden, Jay Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Oct 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972606192 NPPES
New York MEDICAID 01139793

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