Whalio Doctors

NPI 1003811811

Jay W Eneman, MD

Practitioner Orthopaedic Surgery Physician Long Beach, NY

Practice location

Address
780 Long Beach Blvd, Long Beach, NY 11561-2238
Phone
(516) 897-9000
Fax
(516) 897-8656
Mailing address
PO Box 330, Woodmere, NY 11598-0330

Registered specialties (2)

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 132580 (NY)
Orthotic Fitter
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence 132580 (NY)

Registry record

NPI
1003811811
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jun 2005
Record last updated
6 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.