Individual
STEVEN GARY PERGOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-8774
(516) 572-6059
Mailing address
PO BOX 1850, HEMPSTEAD, NY 11551-1850
(516) 572-8774
(516) 572-6059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
036094
NY
1223E0200X
Endodontics
036094
NY
1223G0001X
General Practice Dentistry
036094
NY
1223P0700X
Prosthodontics
Primary
036094
NY
Other
Enumeration date
07/24/2006
Last updated
09/11/2025
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