Advanced Endodontics of Long Island, P.C.
Organization Active NPI Endodontics · Stony Brook, NY
NPI 1598029779 · NPPES record last updated Jul 2, 2012
Key facts
- NPI
- 1598029779
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endodontics 1223E0200X
- License
- 035582 (NY)
- Legal business name
- ADVANCED ENDODONTICS OF LONG ISLAND, P.C.
- Practice address
- 2500 Nesconset Hwy BLDG 18a
Stony Brook, NY 11790-2563 - Phone
- (631) 751-1400
- Fax
- (631) 751-1996
- NPI assigned
- Jul 2, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Jerome Jacob Cymerman, D.M.D.
- Title
- President
- Phone
- (631) 751-1400
Practitioners 3
-
Jerome Cymerman, D.M.D.
-
Brian McCormack, DDS
-
Rita Susan O'Dwyer, DDS
National Provider Directory
Locations
2500 Nesconset Hwy
Bldg 18A
Stony Brook, NY 11790
Phone (631) 751-1400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics |
1223E0200X | 035582 | NY | Yes |
Addresses
Primary practice location
2500 Nesconset Hwy BLDG 18a
Stony Brook, NY 11790-2563
Mailing address
2500 Nesconset Hwy BLDG 18a
Stony Brook, NY 11790-2563
Phone (631) 751-1400
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.