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Organization

GARY H MINKOWITZ DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY HOWARD MINKOWITZ D.D.S. (PRESIDENT)
(718) 898-6050
Entity
Organization

Contact information

Practice address
5523 69TH ST, MASPETH, NY 11378-1806
(718) 898-6050
(718) 898-1728
Mailing address
5523 69TH ST, MASPETH, NY 11378-1806
(718) 898-6050
(718) 898-1728

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037667
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00785680
NY
Enumeration date
03/18/2008
Last updated
03/18/2008
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