Individual
ADAM BEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 HALSTEAD AVE, MAMARONECK, NY 10543-2715
(914) 777-9465
Mailing address
9801 67TH AVE APT 11X, REGO PARK, NY 11374-4911
(631) 942-9232
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
057299
NY
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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