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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, P.C.

NPI Number 1598029779
LBN Legal business name ADVANCED ENDODONTICS OF LONG ISLAND, P.C.
Authorized official JEROME CYMERMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2012
Last updated 07/02/2012 - About 14 years ago
Identifiers
NY License # 035582
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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