Provider Demographics
NPI:1104901974
Name:DOBKIN, JAY B (MD)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:B
Last Name:DOBKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:86 OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-3713
Mailing Address - Country:US
Mailing Address - Phone:866-633-8255
Mailing Address - Fax:718-405-8322
Practice Address - Street 1:MONTEFIORE MEDICAL PARK
Practice Address - Street 2:1515 BLONDELL AVENUE, STE. 220
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:866-633-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142898207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease