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Contact Information

ADVANCED ENDODONTICS OF LONG ISLAND, P.C.
2500 NESCONSET HWY BLDG 18A
STONY BROOK, NY11790-2563
 Phone: 631-751-1400
 Fax: 631-751-1996
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ADVANCED ENDODONTICS OF LONG ISLAND PC · (Female)

NPI Number 1598029779
Status Active
Credentials
Entity Individual
Enumeration date 07/02/2012
Last updated 07/02/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 035582
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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