Individual
DR. JEFFREY R BROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
878 N BROADWAY, MASSAPEQUA, NY 11758-2345
(516) 799-1500
(516) 799-1510
Mailing address
878 N BROADWAY, MASSAPEQUA, NY 11758-2345
(516) 799-1500
(516) 799-1510
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
031116
NY
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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