Individual
DR. ALEVTINA I EDGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
139 N CENTRAL AVE STE 3, VALLEY STREAM, NY 11580-3859
(516) 887-0020
Mailing address
139 NORTH CENTRAL AVE SUITE #3, VALLEY STREAM, NY 11580-3859
(516) 887-0020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50056176
NY
Other
Enumeration date
08/16/2012
Last updated
04/24/2014
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