Individual
DR. ANDREW SYVERTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29 N AIRMONT RD STE 22, SUFFERN, NY 10901-4242
(845) 369-3703
Mailing address
1510 LEXINGTON AVE APT 9E, NEW YORK, NY 10029-7161
(732) 674-8649
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
058939
NY
Other
Enumeration date
02/16/2015
Last updated
07/01/2019
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