Organization
ELLIOT L. AUERBACH, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN COVEN AUERBACH DDS (OWNER)
(516) 466-3611
Entity
Organization
Contact information
Practice address
29 BARSTOW RD, SUITE 105, GREAT NECK, NY 11021-2209
(516) 466-3611
Mailing address
29 BARSTOW RD, SUITE 105, GREAT NECK, NY 11021-2209
(516) 466-3611
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30791
NY
1223P0300X
Periodontics
36475
NY
Other
Enumeration date
02/19/2007
Last updated
09/10/2014
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