Individual
BRIAN JOSEPH HIMELFARB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2943 CLUBHOUSE RD, MERRICK, NY 11566-4807
(516) 306-0159
Mailing address
2943 CLUBHOUSE RD, MERRICK, NY 11566-4807
(516) 306-0159
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
064063
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
14182
CT
Other
Enumeration date
03/28/2021
Last updated
08/13/2024
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