Individual
ANDREW NICHOLES EMANUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2590 STEWART AVE, WESTBURY, NY 11590
(516) 334-4340
Mailing address
2590 STEWART AVE, WESTBURY, NY 11590
(516) 334-4340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042034
NY
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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