Purvin, Jay M

Purvin, Jay M is an sole proprietor health care provider with primary practice located at 336 Cedar Ln , East Meadow NY 11554-2714. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Purvin, Jay M can be contacted via phone (516) 489-1950.

Contact Information

Primary practice address
336 Cedar Ln East Meadow NY 11554-2714
Phone: (516) 489-1950
Fax: (516) 489-6861
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X NO002971-1 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00167000 New Jersey

Profile Details

NPI number 1053310920
LBN Legal business name Purvin, Jay M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Feb 15th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053310920 NPPES
New York MEDICAID 00406217
New York MEDICAID 0758507

Popular Providers