Provider Demographics
NPI:1619458932
Name:NASSAU HEALTH CONSULTANTS CORP
Entity Type:Organization
Organization Name:NASSAU HEALTH CONSULTANTS CORP
Other - Org Name:MEDI-WEIGHTLOSS, GARDEN CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHAYEVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD MS
Authorized Official - Phone:516-268-3026
Mailing Address - Street 1:300 GARDEN CITY PLZ STE 330
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-3331
Mailing Address - Country:US
Mailing Address - Phone:516-268-3026
Mailing Address - Fax:516-268-5122
Practice Address - Street 1:300 GARDEN CITY PLZ STE 330
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-3331
Practice Address - Country:US
Practice Address - Phone:516-268-3026
Practice Address - Fax:516-268-5122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1430912083B0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Multi-Specialty