Individual
DR. MYRON GURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5231 LITTLE NECK PKWY, LITTLE NECK, NY 11362-1836
(718) 224-0040
(718) 224-8853
Mailing address
19 BRIDLE PATH, ROSLYN, NY 11576-3115
(516) 742-7751
(516) 742-7751
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
024006-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00319397
—
NY
Enumeration date
01/01/2007
Last updated
07/08/2007
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