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Individual

DR. GREGORY TADDEO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
94-98 MANHATTAN AVENUE, BROOKLYN, NY 11206
(718) 388-0390
(718) 486-5741
Mailing address
60 MADISON AVE, 5TH FLOOR, NEW YORK, NY 10010-1600
(212) 545-2439
(646) 312-0481

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050795
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00695941
NY
Enumeration date
03/17/2008
Last updated
06/04/2015
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