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NPI Code Detail

MEDICARE: DR. JASON ROBERT BEHAR D.P.M

MEDICARE:  DR. JASON ROBERT BEHAR  D.P.M
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristN005420NY

General Provider Information

NPI Number : 1861492878
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON ROBERT BEHAR D.P.M
Provider Business Mailing Address
First Line : 671 MONTAUK HWY
Second Line :
City : BAYPORT
State : NY
Zip : 11705-1607
Country : US
Telephone Number : 631-472-2112
Fax Number : 631-472-2605
Provider Business Practice Location Address
First Line : 671 MONTAUK HWY
Second Line :
City : BAYPORT
State : NY
Zip : 11705-1607
Country : US
Telephone Number : 631-472-2112
Fax Number : 631-472-2605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2005
Last Update Date : 03/10/2011

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Directions to “ DR. JASON ROBERT BEHAR D.P.M” Practice Location

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