Individual
DR. PETER RYBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15 CANTERBURY RD, SUITE A2, GREAT NECK, NY 11021-2610
(516) 441-5060
(516) 570-2509
Mailing address
15 CANTERBURY RD, SUITE A2, GREAT NECK, NY 11021-2610
(516) 441-5060
(516) 570-2509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
051665
NY
1223E0200X
Endodontics
Primary
051665
NY
Other
Enumeration date
04/19/2007
Last updated
11/12/2011
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