Individual
DR. SUSAN GAIL TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
154 NASSAU BLVD, GARDEN CITY, NY 11530
(516) 747-4541
(516) 747-4663
Mailing address
154 NASSAU BLVD, GARDEN CITY, NY 11530
(516) 747-4541
(516) 747-4663
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
037205
NY
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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