Individual
DR. CHARLES MICHAEL NEIDORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 S OYSTER BAY RD, SUITE 206, HICKSVILLE, NY 11801-3500
(516) 822-4488
(516) 822-4496
Mailing address
400 S OYSTER BAY RD, SUITE 206, HICKSVILLE, NY 11801-3500
(516) 822-4488
(516) 822-4496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
030483
NY
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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