Individual
DR. LANCE JEFF ADELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2818 OCEAN AVE, SUITE 3, BROOKLYN, NY 11235-3170
(718) 769-0777
(718) 769-0778
Mailing address
2818 OCEAN AVE, SUITE 3, BROOKLYN, NY 11235-3170
(718) 769-0777
(718) 769-0778
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
030952
NY
1223P0300X
Periodontics
D11966
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00857272
—
NY
Enumeration date
02/02/2006
Last updated
07/08/2007
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