| NPI | 1538259833 |
|---|---|
| Professional Name | JAY S. FISHBEIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 039272-1) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: PA DS024055L) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2007-07-08 |