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2500 Nesconset Hwy Building 4b Stony Brook NY 11790-2555 | |
| (631) 675-2700 | |
| (631) 675-2700 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2500 Nesconset Hwy, Stony Brook, New York |
| Authorized Official Name and Position | Nadav Segal (DOCTOR) |
| Authorized Official Contact | 6316752700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2500 Nesconset Hwy Building 4b Stony Brook NY 11790-2555 Ph: (631) 675-2700 | 2500 Nesconset Hwy Building 4b Stony Brook NY 11790-2555 Ph: (631) 675-2700 |
| NPI Number | 1881966604 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 02/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881966604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 052525 (New York) | Primary |
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