Individual
DR. GREGORY JEROME HASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4571 KINGS HWY, BROOKLYN, NY 11234-2025
(718) 692-4791
(718) 692-3362
Mailing address
4571 KINGS HWY, BROOKLYN, NY 11234-2025
(718) 692-4791
(718) 692-3362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039964-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
949106
—
NY
Enumeration date
11/18/2005
Last updated
05/06/2008
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