Individual
DR. LEWIS I ELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 NORTHERN BLVD, SUITE 206, GREAT NECK, NY 11021
(516) 466-1000
(516) 466-8027
Mailing address
600 NORTHERN BLVD, SUITE 206, GREAT NECK, NY 11021
(516) 466-1000
(516) 466-8027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36835
NY
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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