Individual
DR. FATINA SHTIVELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3 APRICOT CT, MELVILLE, NY 11747-8709
(927) 834-5627
Mailing address
3 APRICOT CT, MELVILLE, NY 11747-8709
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054932-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2009
Last updated
08/07/2013
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