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Organization
ELLIOT L. AUERBACH, DDS, PC
Active
Organization
ELLIOT L. AUERBACH, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN COVEN AUERBACH DDS (OWNER)
(516) 466-3611
Entity
Organization
Contact information
Practice address
29 BARSTOW RD, SUITE 105, GREAT NECK, NY 11021-2209
(516) 466-3611
Mailing address
29 BARSTOW RD, SUITE 105, GREAT NECK, NY 11021-2209
(516) 466-3611
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30791
NY
1223P0300X
Periodontics
36475
NY
Other
Enumeration date
02/19/2007
Last updated
09/10/2014
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