1223S0112X
Brentwood, NY
Specialty
1223S0112X
Credential
DDS
NPI
1891779278
601 Suffolk Ave, Brentwood, NY 11717
(631) 625-6660Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 1223s0112x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 1223S0112X