DR. Jay David Gassman

NPI #1265575898 in Medford, New York

Provider Information

NPI Number: 1265575898
Entity Type: Individual
Name: DR. Jay David Gassman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Feb 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 735 BLUE RIDGE DR
City: Medford
State: New York
ZIP Code: 11763-1210
Phone: (631) 736-1605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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