Individual
FLORA NIDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
585 FULTON ST, 2ND FLOOR, BROOKLYN, NY 11201
(718) 624-6204
(718) 222-0427
Mailing address
585 FULTON ST, 2ND FLOOR, BROOKLYN, NY 11201-5314
(718) 624-6204
(718) 222-0427
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0485191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02237805
—
NY
Enumeration date
01/26/2007
Last updated
12/20/2012
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