Individual
DR. MARC E PATERNINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
27020 UNION TPKE, NEW HYDE PARK, NY 11040-1534
(516) 742-5100
(718) 343-3460
Mailing address
27020 UNION TPKE, NEW HYDE PARK, NY 11040-1534
(516) 742-5100
(718) 343-3460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048402
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02207569
—
NY
Enumeration date
09/22/2006
Last updated
09/17/2012
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