Individual
REBECCA VAETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 DOGWOOD AVE STE 101, FRANKLIN SQUARE, NY 11010-3400
(516) 565-2018
Mailing address
14 BARCLAY ST, HUNTINGTON STATION, NY 11746-2619
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
064881
NY
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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