Individual
DINA FARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S BERGEN PL, FREEPORT, NY 11520-3528
(516) 546-9077
(516) 623-9191
Mailing address
1600 STEWART AVE STE 300, WESTBURY, NY 11590-6611
(516) 396-0187
(516) 546-4114
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
021559
NY
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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