Individual
DONNA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1845
(516) 378-2000
(516) 377-2105
Mailing address
48 LEE AVE, HICKSVILLE, NY 11801-5826
(516) 942-8105
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0188161
NY
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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