Individual
DR. ELLIOTT WARREN BRILLIANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10 MEDICAL PLZ, SUITE 203, GLEN COVE, NY 11542-2193
(516) 759-0086
Mailing address
10 MEDICAL PLZ, SUITE 203, GLEN COVE, NY 11542-2193
(516) 759-0086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29750
NY
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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