Individual
DR. JEROME JULIUS DESNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8 HEALEY AVE, PLATTSBURGH, NY 12901
(518) 561-1170
(518) 324-1170
Mailing address
8 HEALEY AVE, PLATTSBURGH, NY 12901
(518) 561-1170
(518) 324-1170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
029277
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00626513
—
NY
Enumeration date
02/22/2007
Last updated
07/08/2007
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