Dehovitz, Jack A.

Dehovitz, Jack A. is an individual health care provider with primary practice located at 450 Clarkson Ave Suite A, Brooklyn NY 11203-2056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Dehovitz, Jack A. can be contacted via phone (718) 270-1432.

Contact Information

Primary practice address
450 Clarkson Ave Suite A Brooklyn NY 11203-2056
Phone: (718) 270-1432
Fax: (718) 270-4123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 145405-1 New York

Profile Details

NPI number 1962496141
LBN Legal business name Dehovitz, Jack A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jul 11th, 2014 - about 12 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 1962496141 NPPES
New York MEDICAID 01449063

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