Individual
DR. GARY OSMANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
275 AVENUE X, BROOKLYN, NY 11223-5956
(732) 580-0877
Mailing address
710 TENNENT RD STE 204, MANALAPAN, NJ 07726-3149
(732) 617-2830
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044503
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01382954
—
NY
Enumeration date
05/31/2007
Last updated
08/28/2019
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