| |
2500 Nesconset Hwy Building 4b Stony Brook NY 11790-2555 | |
(631) 675-2700 | |
(631) 675-2700 |
Full Name | |
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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 |
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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 |
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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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