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Organization
NORTH SHORE- LONG ISLAND JEWISH HEALTH SYSTEM
Active
Organization
NORTH SHORE- LONG ISLAND JEWISH HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUKRITA MATTA DDS (DENTIST)
(908) 410-1389
Entity
Organization
Contact information
Practice address
400 COMMUNITY DR, MANHASSET, NY 11030-3815
(516) 562-4525
Mailing address
400 COMMUNITY DR, MANHASSET, NY 11030-3815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052041
NY
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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