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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053310920 | NPPES |
New York | MEDICAID | 00406217 | |
New York | MEDICAID | 0758507 |
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