Stanley Sussman D.D.S.

NPI 1104083690 - Dentist - 1223G0001X

NPI Details
NPI 1104083690
Gender Male
Enumeration Date 05/21/2008
Last Updated 05/21/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1802 55TH ST
BROOKLYN NY, 11204-1901, US
Phone (718) 236-3444
Fax (718) 259-0034
Business Location
1802 55TH ST
BROOKLYN NY, 11204-1901, US
Phone (718) 236-3444
Fax (718) 259-0034
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 026658
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According to our database, Dr. Stanley Sussman D.D.S. NPI is 1104083690, taxonomy code is 1223G0001X and license number is 026658, license state is located at New York. Stanley Sussman D.D.S. physically located at 1802 55th St, Brooklyn NY, 11204-1901. NPI Number Stanley Sussman D.D.S. has the Individual type.

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1104083690 NPI number is provided on an as is basis without warranty of any kind. 1104083690 is maintained by the National Plan & Provider Enumeration System. The contents of Stanley Sussman D.D.S. are for informational purposes only.