Individual
MICHELE KAIDER-ALSTODT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1476 DEER PARK AVE, SUITE 2, NORTH BABYLON, NY 11703-1200
(631) 254-5437
Mailing address
1476 DEER PARK AVE, SUITE 2, NORTH BABYLON, NY 11703-1200
(631) 254-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
051462
NY
1223P0221X
Pediatric Dentistry
Primary
051462-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204062910
TAX ID
NY
Enumeration date
05/30/2007
Last updated
10/08/2020
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