Individual
FRANK M. HERAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1521 JERICHO TPKE, NEW HYDE PARK, NY 11040-4712
(516) 616-4900
(516) 282-2500
Mailing address
1521 JERICHO TPKE, NEW HYDE PARK, NY 11040-4712
(516) 616-4900
(516) 282-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46017-1
NY
Other
Enumeration date
10/31/2005
Last updated
04/02/2008
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