| Doctor Name: | DR. JASON ROBERT BEHAR |
| NPI Number: | 1861492878 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M |
| License Number: | N005420 |
| Business Practice Address: | 671 Montauk Hwy Bayport, NY - 117051607 |
| Business Phone Number: | 6314722112 |
| Business Fax Number: | 6314722605 |
| Mailing Address: | 671 Montauk Hwy, BAYPORT |
| State: | NY |
| Postal Code: | 117051607 |
| Phone Number: | 6314722112 |
| Fax Number: | 6314722605 |
| NPI Enumeration Date: | 08/01/2005 |
| NPI Last Update Date: | 03/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | N005420 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |