Organization
ANTONIO CASANOVA DDS & BRUCE GOLDMAN DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE GOLDMAN D.M.D. (CO-OWNER)
(516) 294-0202
Entity
Organization
Contact information
Practice address
901 STEWART AVE, SUITE 200, GARDEN CITY, NY 11530-4893
(516) 294-0202
(516) 294-3564
Mailing address
901 STEWART AVE, SUITE 200, GARDEN CITY, NY 11530-4893
(516) 294-0202
(516) 294-3564
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
042915
NY
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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