Provider Demographics
NPI:1750514022
Name:PACHTER, JARID (DO)
Entity type:Individual
Prefix:DR
First Name:JARID
Middle Name:
Last Name:PACHTER
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Gender:M
Credentials:DO
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Mailing Address - Street 1:STONY BROOK COMMUNITY MEDICAL
Mailing Address - Street 2:500 COMMACK ROAD SUITE 206
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725
Mailing Address - Country:US
Mailing Address - Phone:631-675-2125
Mailing Address - Fax:631-675-2628
Practice Address - Street 1:SOUTHOLD FAMILY MEDICINE
Practice Address - Street 2:44360 COUNTY ROAD 48
Practice Address - City:SOUTHOLD
Practice Address - State:NY
Practice Address - Zip Code:11971
Practice Address - Country:US
Practice Address - Phone:631-734-8742
Practice Address - Fax:631-734-8745
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2021-08-10
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Provider Licenses
StateLicense IDTaxonomies
NY252270207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine