Individual
GOVIND BAPAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6180 JERICHO TPKE, COMMACK, NY 11725-2813
(631) 499-0040
Mailing address
130 GREENWAY DR S, SYOSSET, NY 11791-3854
(516) 496-3630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038899-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00902621
—
NY
Enumeration date
06/06/2007
Last updated
12/26/2013
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