Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 185325-1 | NY |
NPI | 1124068465 |
---|---|
Provider Name | Dr. Jeffrey H Jablon |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Purchase, NY 10577 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 24/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F32059 | (02) | NY |