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Organization

WILLIAM WOLFERSBERGER DMD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA BROWER (OFFICE MANAGER)
(718) 748-5765
Entity
Organization

Contact information

Practice address
655 76TH ST, BROOKLYN, NY 11209-3325
(718) 748-5765
(718) 748-5730
Mailing address
655 76TH ST, BROOKLYN, NY 11209-3325
(718) 748-5765
(718) 748-5730

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
030065
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1194867010
MDICARE TYPE 1 NPI
NY
Enumeration date
02/25/2011
Last updated
02/25/2011
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