Individual
DR. BRIAN JASON CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
453 ROCKAWAY AVE, VALLEY STREAM, NY 11581-1909
(516) 825-3884
Mailing address
861 HERMAN AVE, FRANKLIN SQUARE, NY 11010-3108
(718) 938-1658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051672-1
NY
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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