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Organization

ADVANCED ENDODONTICS OF LONG ISLAND, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEROME JACOB CYMERMAN D.M.D. (PRESIDENT)
(631) 751-1400
Entity
Organization

Contact information

Practice address
2500 NESCONSET HWY BLDG 18A, STONY BROOK, NY 11790-2563
(631) 751-1400
(631) 751-1996
Mailing address
2500 NESCONSET HWY BLDG 18A, STONY BROOK, NY 11790-2563
(631) 751-1400
(631) 751-1996

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
035582
NY

Other

Enumeration date
07/02/2012
Last updated
07/02/2012
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