Individual
DR. SUSAN COVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
29 BARSTOW RD, 105, GREAT NECK, NY 11021-2222
(516) 466-3611
(516) 466-9398
Mailing address
29 BARSTOW RD, 105, GREAT NECK, NY 11021-2222
(516) 466-3611
(516) 466-9398
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
036475
NY
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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