Provider Demographics
NPI:1437231370
Name:NEUHAUS, JAY JULIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:JULIAN
Last Name:NEUHAUS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 GRAMERCY PARK S APT 5J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1722
Mailing Address - Country:US
Mailing Address - Phone:914-714-4727
Mailing Address - Fax:914-200-0091
Practice Address - Street 1:693 5TH AVE STE 1400
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3110
Practice Address - Country:US
Practice Address - Phone:212-777-6725
Practice Address - Fax:914-200-0091
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
NY0320941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies