Individual
MICHAEL BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3 GREENBRIER LANE, SAYVILLE, NY 11782
(631) 589-6772
(631) 567-9249
Mailing address
3 GREENBRIER LANE, SAYVILLE, NY 11782
(631) 589-6772
(631) 567-9249
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041296
NY
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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