Organization
PATRICK J. SABO, D.M.D. & MARK A. RIENECKER, D.D.S., P.C.
Active
Other names
Robert J.Goldman, D.D.S., Elliot S.Taynor, D.D.S., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J. SABO D.M.D. (PRESIDENT)
(631) 399-1600
Entity
Organization
Contact information
Practice address
6 MEDICAL DR, PORT JEFFERSON STATION, NY 11776-1594
(631) 928-2655
(631) 399-1014
Mailing address
6 MEDICAL DR, PORT JEFFERSON STATION, NY 11776-1594
(631) 928-2655
(631) 399-1014
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
046671
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
048812
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03260964
—
NY
Enumeration date
12/15/2006
Last updated
12/28/2016
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