Individual
DR. FRED JOSEPH COLOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
996 HICKSVILLE RD, MASSAPEQUA, NY 11758-1251
(516) 799-1787
(516) 799-2623
Mailing address
996 HICKSVILLE RD, MASSAPEQUA, NY 11758-1251
(516) 799-1787
(516) 799-2623
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0214041
NY
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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