GREGG R FADER

NEW YORK, NY
NPI1194814434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY  040972)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
Dr. GREGG R FADER DMD
504 GRAND STREET #M3
NEW YORK, NY 10002
Phone number: 212-475-0051
Mailing Address
Dr. GREGG R FADER DMD
ONE JORDAN LANE
ARDSLEY, NY 10502
Phone number: 914-693-4442