Organization
FLATBUSH DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY NADLER (PRESIDENT)
(718) 252-0056
Entity
Organization
Contact information
Practice address
1040 1ST AVE # 393, NEW YORK, NY 10022-2991
(718) 252-0056
Mailing address
3013 AVENUE J, BROOKLYN, NY 11210-3837
(718) 252-0056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39376
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00913084
—
NY
Enumeration date
06/20/2012
Last updated
06/20/2012
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