Individual
DR. STEVEN PAUL ENGEBRETSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS, MS
Contact information
Practice address
630 5TH AVE, SUITE 1860, NEW YORK, NY 10111-0100
(212) 765-7340
Mailing address
1 HOLLY LN, SETAUKET, NY 11733-1611
(212) 998-9640
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
046334
NY
Other
Enumeration date
03/08/2007
Last updated
04/22/2014
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