Individual
DR. ROBERT DAVID BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
51A N. FERRY RD., SHELTER ISLAND, NY 11964-0715
(631) 749-2646
Mailing address
56 N. CARTWRIGHT RD., POB 715, SHELTER ISLAND, NY 11964-0715
(631) 749-2117
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
24831
NY
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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