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Individual

DR. ROBERT M PESKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
601 FRANKLIN AVENUE, SUITE 225, GARDEN CITY, NY 11530-5742
(516) 746-2434
(516) 746-3639
Mailing address
601 FRANKLIN AVE, SUITE 225, GARDEN CITY, NY 11530-5795
(516) 746-2434
(516) 746-3639

Taxonomy

Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
000248
NY
1223G0001X
General Practice Dentistry
32715
NY
1223G0001X
General Practice Dentistry
7717
CO

Other

Enumeration date
03/06/2007
Last updated
05/15/2014
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