Individual
DR. AMANDA BETH ALBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
62 LAKE AVE S STE A, NESCONSET, NY 11767-1094
(631) 360-7337
Mailing address
62 LAKE AVE S STE A, NESCONSET, NY 11767-1094
(631) 360-7337
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
061216-01
NY
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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