Individual
DR. AVIRAM D. SHMUELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
21404 18TH AVE, BAYSIDE, NY 11360-1636
(718) 423-1999
(718) 423-1851
Mailing address
214-04 18TH AVE, BAYSIDE, NY 11360-1636
(718) 423-1999
(718) 423-1851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043525-1
NY
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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