Individual provider · NPI-1

Dr. Kendra Doreen Block, DDS

Durable Medical Equipment & Medical Supplies · Stony Brook, NY

NPI number1619092194
StatusActive
Last updated in NPPESOct 9, 2018

Details

NPI
1619092194
Entity type
Individual (NPI-1)
Name
Dr. Kendra Doreen Block
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 21, 2007
Last updated
Oct 9, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies042182NYYes
122300000X Dentist042182NY

Practice location

213 Hallock Rd
Suite 1
Stony Brook, NY 11790-3000

Phone 631-689-5411

Mailing address

7 Seward Ln
Stony Brook, NY 11790-3108

Phone 631-689-0415

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