Individual
DR. KATHLEEN MARY ENGLEHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
877 STEWART AVE, GARDEN CITY, NY 11530-4803
(516) 222-1717
Mailing address
647 COMMACK RD, COMMACK, NY 11725-5414
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
053314-1
NY
Other
Enumeration date
07/10/2007
Last updated
06/10/2010
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