Individual
DR. DENNIS LYLE DRAIZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
195 N VILLAGE AVE, SUITE 1, ROCKVILLE CENTRE, NY 11570-3814
(516) 536-7777
(516) 536-9225
Mailing address
195 N VILLAGE AVE, SUITE 1, ROCKVILLE CENTRE, NY 11570-3814
(516) 536-7777
(516) 536-9225
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
134130
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00774956
—
NY
Enumeration date
07/18/2006
Last updated
07/08/2007
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