| Advanced Endodontics Of Long Island, P.c. | |
|
2500 Nesconset Hwy Bldg 18a Stony Brook NY 11790-2563 | |
| (631) 751-1400 | |
| (631) 751-1996 |
| Full Name | Advanced Endodontics Of Long Island, P.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2500 Nesconset Hwy Bldg 18a, Stony Brook, New York |
| Authorized Official Name and Position | Jerome Jacob Cymerman (PRESIDENT) |
| Authorized Official Contact | 6317511400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Endodontics Of Long Island, P.c. 2500 Nesconset Hwy Bldg 18a Stony Brook NY 11790-2563 Ph: (631) 751-1400 | Advanced Endodontics Of Long Island, P.c. 2500 Nesconset Hwy Bldg 18a Stony Brook NY 11790-2563 Ph: (631) 751-1400 |
| NPI Number | 1598029779 |
|---|---|
| Provider Enumeration Date | 07/02/2012 |
| Last Update Date | 07/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598029779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 035582 (New York) | Primary |
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