Individual provider · NPI-1

Marcus Abboud, DDS

Dentist, Prosthodontics · Stony Brook, NY

NPI number1730432303
StatusActive
Last updated in NPPESOct 19, 2012

Details

NPI
1730432303
Entity type
Individual (NPI-1)
Name
Prof. Marcus Abboud
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Oct 19, 2012
Last updated
Oct 19, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0700X Dentist, Prosthodontics000032NYYes

Practice location

1104 Westchester Hl
Stony Brook, NY 11794-8706

Phone 631-632-9371

Mailing address

11 Club House Ct
Setauket, NY 11733-1041

Phone 631-388-2372

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