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Individual

DR. JACK M SINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
647 MAIN ST, FARMINGDALE, NY 11735-4150
(516) 249-6665
(516) 293-3518
Mailing address
647 MAIN ST, FARMINGDALE, NY 11735-4150
(516) 249-6665
(516) 293-3518

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
036452-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00956607
NY
Enumeration date
10/12/2006
Last updated
07/08/2007
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