Individual
DR. CHARLES STEVEN AXELRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
260 MERRITTS RD, FARMINGDALE, NY 11735-3200
(561) 249-4206
(516) 249-8141
Mailing address
260 MERRITTS RD, FARMINGDALE, NY 11735-3200
(561) 249-4206
(516) 249-8141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30962
NY
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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