Jaffe, Marc S

Jaffe, Marc S is an sole proprietor health care provider with primary practice located at 731 Woodbury Rd , Woodbury NY 11797-2506. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Jaffe, Marc S can be contacted via phone (516) 496-8750.

Contact Information

Primary practice address
731 Woodbury Rd Woodbury NY 11797-2506
Phone: (516) 496-8750
Fax: (516) 364-3884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 003245 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 003245 New York

Profile Details

NPI number 1770586133
LBN Legal business name Jaffe, Marc S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2005
Last updated Oct 26th, 2007 - about 19 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 1770586133 NPPES
New York MEDICAID 00685649

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