Individual
ALLIE LUXENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
700 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2531
(516) 775-7080
Mailing address
121 MAPLE ST, GREAT NECK, NY 11023-1134
(516) 466-0380
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
060384-1
NY
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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