Organization
MARTIN R BOORIN, DMD PC
Active
Other names
Dental Anesthesia Services, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN R BOORIN DMD (PRESIDENT)
(631) 940-3690
Entity
Organization
Contact information
Practice address
1087 WESTMINSTER AVE, DIX HILLS, NY 11746-6340
(516) 776-0716
(631) 940-7227
Mailing address
PO BOX 107, HUNTINGTON STATION, NY 11746-0089
(631) 940-3690
(631) 940-7227
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
039997
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00023886
RAILROAD
NY
Enumeration date
07/23/2013
Last updated
07/23/2013
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