Individual
DR. NEIL GORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
303 BEVERLY ROAD, PR1, BROOKLYN, NY 11218-3151
(718) 436-5175
Mailing address
303 BEVERLY ROAD, PR1, BROOKLYN, NY 11218-3151
(718) 436-5175
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
039258
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00999899
—
NY
Enumeration date
09/25/2006
Last updated
07/08/2007
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