Organization · NPI-2

Advanced Endodontics Of Long Island, P.C.

Dentist, Endodontics · Stony Brook, NY

NPI number1598029779
StatusActive
Last updated in NPPESJul 2, 2012

Details

NPI
1598029779
Entity type
Organization (NPI-2)
Legal business name
Advanced Endodontics Of Long Island, P.C.
Organization subpart
No
Enumeration date
Jul 2, 2012
Last updated
Jul 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223E0200X Dentist, Endodontics035582NYYes

Practice location

2500 Nesconset Hwy Bldg 18a
Stony Brook, NY 11790-2563

Phone 631-751-1400 · Fax 631-751-1996

Mailing address

2500 Nesconset Hwy Bldg 18a
Stony Brook, NY 11790-2563

Phone 631-751-1400 · Fax 631-751-1996

Authorized official

Jerome Jacob Cymerman
President
6317511400

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