Pardes, Jeffrey Bruce

Pardes, Jeffrey Bruce is an individual health care provider with primary practice located at 332 E Main St , Bay Shore NY 11706-8404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Pardes, Jeffrey Bruce can be contacted via phone (631) 666-0500.

Contact Information

Primary practice address
332 E Main St Bay Shore NY 11706-8404
Phone: (631) 666-0500
Fax: (631) 666-0503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 201998 New York

Profile Details

NPI number 1487614319
LBN Legal business name Pardes, Jeffrey Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Sep 16th, 2008 - about 18 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 1487614319 NPPES
New York MEDICAID 01650059

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