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Individual

DR. DAVID GERARD CORNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
98 GEORGE ST, GREEN ISLAND, NY 12183-1206
(518) 273-0285
(518) 273-0255
Mailing address
98 GEORGE ST, GREEN ISLAND, NY 12183-1206
(518) 273-0285
(518) 273-0255

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042138
NY

Other

Enumeration date
08/09/2006
Last updated
07/08/2007
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