Organization
ALAN ELLMAN - HARVEY LINDENBAUM DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY LINDENBAUM DDS (OWNER)
(631) 924-7997
Entity
Organization
Contact information
Practice address
770 MIDDLE COUNTRY RD, MIDDLE ISLAND, NY 11953-2542
(631) 924-7997
(631) 924-7953
Mailing address
770 MIDDLE COUNTRY RD, MIDDLE ISLAND, NY 11953-2542
(631) 924-7997
(631) 924-7953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
29544
NY
122300000X
Dentist
Primary
29649
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00412533
—
NY
Enumeration date
06/08/2005
Last updated
08/22/2020
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