Organization
KOBAK & DIAMANTAKIS DDS PC
Active
Other names
Syosset Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
590 JERICHO TPKE, SYOSSET, NY 11791-4522
(516) 433-2211
Mailing address
590 JERICHO TPKE, SYOSSET, NY 11791-4522
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
01/03/2025
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