Jay Bridbord (NPI# 1235122821, PAC ID# 2567408115) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1235122821 |
| PAC ID by PECOS | 2567408115 |
| Professional Enrollment ID | I20050705000796 |
| Full Name | Jay Bridbord |
| Address |
65 Cooper Dr Great Neck NY 11023-1908 |
| Phone Number | 5166277640 |
| Gender | M |
| Credential | DDS |
| Medical School | NEW YORK UNIVERSITY COLLEGE OF DENTISTRY |
| Graduation Year | 1970 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330182 | ST FRANCIS HOSPITAL - THE HEART CENTER |
| Address | Phone | Organization |
|---|---|---|
| 65 Cooper Dr, Great Neck, NY 11023-1908 | 5166277640 |
| Street Address |
65 COOPER DR |
| City | GREAT NECK |
| State | NY |
| Zip | 11023-1908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaine K Seitz | Psychologist, Clinical | 72 Old Pond Rd, Great Neck, NY 11023-1032 | |
| Michael Salamatbad | Family Medicine | 615 B Middle Neck Rd, Great Neck, NY 11023-1216 | |
| Elizabeth R First | Clinical Social Worker | 131 Hampshire Rd, Great Neck, NY 11023-1230 | |
| Kevin S Zemana | Physical Therapy | Marathon Physical Therapy of Ny PC | 556 B Middle Neck Rd, Great Neck, NY 11023-1422 |
| Negin Jalayer | Physical Therapy | Marathon Physical Therapy of Ny PC | 556 B Middle Neck Rd, Great Neck, NY 11023-1422 |
| Hing Yee Eng | Diagnostic Radiology | Fands Radiology PC | 81 Hampshire Rd, Great Neck, NY 11023-1538 |
| Carole Miller | Psychologist, Clinical | 90 Hampshire Rd, Great Neck, NY 11023-1539 | |
| Shahryar Elihu | Internal Medicine | 320 E Shore Rd, Apt 4c, Great Neck, NY 11023-1734 | |
| Dan Levy | Ophthalmology | 1 Bayport Lane N, Great Neck, NY 11023-1840 | |
| David Shabtian | Anesthesiology | 4 Sands Ct, Great Neck, NY 11023-1901 | |
| Find all physicians in zip 11023 | |||
| City | GREAT NECK |
| Zip Code | 11023 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | GREAT NECK + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Jay Bridbord.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.