Individual provider · NPI-1

Dr. David Anolik, dds

Dentist · Stony Brook, NY

NPI number1861648966
StatusActive
Last updated in NPPESAug 8, 2008

Details

NPI
1861648966
Entity type
Individual (NPI-1)
Name
Dr. David Anolik
Credential
dds
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 8, 2008
Last updated
Aug 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist027374-1NYYes

Practice location

Suny Stony Brook School Of Dental Medicine
1101 Westchester Hall
Stony Brook, NY 11794-0001

Phone 631-632-9710

Mailing address

Suny Stony Brook School Of Dental Medicine
1101 Westchester Hall
Stony Brook, NY 11794-0001

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