Individual
MICHAEL NOSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3305 JERUSALEM AVE, SUITE 106, WANTAGH, NY 11793-2028
(716) 628-4971
Mailing address
2250 83RD ST, APT 1C, BROOKLYN, NY 11214-2661
(716) 628-4971
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
154124
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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