Individual provider · NPI-1

Mark Floumanhaft, DDS

Dentist · Woodmere, NY

NPI number1083073431
StatusActive
Last updated in NPPESApr 17, 2018

Details

NPI
1083073431
Entity type
Individual (NPI-1)
Name
Mark Floumanhaft
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Feb 14, 2016
Last updated
Apr 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist059391NYYes

Practice location

253 Club Dr
Woodmere, NY 11598-2018

Phone 716-550-6137

Mailing address

253 Club Dr
Woodmere, NY 11598-2018

Phone 716-550-6137

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