Organization
STEWART BRODY DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART BRODY DDS (DENTIST)
(516) 482-2215
Entity
Organization
Contact information
Practice address
17 MAPLE DR, GREAT NECK, NY 11021-2000
(516) 482-2215
(516) 482-5410
Mailing address
17 MAPLE DR, GREAT NECK, NY 11021-2000
(516) 482-2215
(516) 482-5410
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
040136
NY
Other
Enumeration date
07/22/2011
Last updated
12/02/2011
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