Provider Demographics
NPI:1245332956
Name:AARON, JAY STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:STEVEN
Last Name:AARON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 NORTHERN BLVD
Mailing Address - Street 2:SUITE #390
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:516-482-1990
Mailing Address - Fax:516-482-2877
Practice Address - Street 1:1000 NORTHERN BLVD
Practice Address - Street 2:SUITE #390
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-482-1990
Practice Address - Fax:516-482-2877
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY151772207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
16E091OtherEMPIRE BCBS
156879OtherUNITED
0020225OtherGHI
8687514OtherCIGNA
AP569OtherOXFORD
13302OtherMAGNA CARE
AP569OtherOXFORD
156879OtherUNITED