Organization
GREATER LONG ISLAND DENTAL HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN E. ROGERS D.M.D. (PARTNER)
(516) 798-4223
Entity
Organization
Contact information
Practice address
101 NEW YORK AVENUE, MASSAPEQUA, NY 11758
(516) 798-4223
(516) 798-9457
Mailing address
101 NEW YORK AVENUE, MASSAPEQUA, NY 11758
(516) 798-4223
(516) 798-9457
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042109
NY
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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