Individual
DR. LORNE TAICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SCHOOL OF DENTAL MEDICINE, STONY BROOK UNIVERSITY, STONY BROOK, NY 11794-8702
(631) 632-8927
Mailing address
SCHOOL OF DENTAL MEDICINE, STONY BROOK UNIVERSITY, STONY BROOK, NY 11794-8702
(631) 632-8927
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
123765
NY
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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