| Stewart Brody Dds | |
|
17 Maple Dr Great Neck NY 11021-2000 | |
| (516) 482-2215 | |
| (516) 482-5410 |
| Full Name | Stewart Brody Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17 Maple Dr, Great Neck, New York |
| Authorized Official Name and Position | Stewart Brody (DENTIST) |
| Authorized Official Contact | 5164822215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stewart Brody Dds 17 Maple Dr Great Neck NY 11021-2000 Ph: (516) 482-2215 | Stewart Brody Dds 17 Maple Dr Great Neck NY 11021-2000 Ph: (516) 482-2215 |
| NPI Number | 1609154806 |
|---|---|
| Provider Enumeration Date | 07/22/2011 |
| Last Update Date | 12/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609154806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 040136 (New York) | Primary |
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