Individual
SIMONE REISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
173 E SHORE RD STE 201, GREAT NECK, NY 11023-2456
(516) 207-0897
Mailing address
11220 72ND DR APT D35, FOREST HILLS, NY 11375-5640
(516) 312-4714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
058343
NY
1223P0221X
Pediatric Dentistry
Primary
058343
NY
Other
Enumeration date
02/05/2014
Last updated
07/09/2020
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