Individual
FIDEL ABREU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PLLC
Contact information
Practice address
80 GUY LOMBARDO AVE, FREEPORT, NY 11520-3715
(516) 223-6896
(516) 223-2954
Mailing address
80 GUY LOMBARDO AVE, FREEPORT, NY 11520-3715
(516) 223-6896
(516) 223-6854
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047195-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01773959
—
NY
Enumeration date
09/20/2006
Last updated
04/26/2016
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