SHADY SAMUEL

MINEOLA, NY
NPI1245536382
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: NY  055773)
Enumeration Date2011-02-08
Last Update Date2017-08-15
Business Address
-- SHADY SAMUEL
18 JEROME AVE
MINEOLA, NY 11501-3302
Phone number: 718-268-0452
Mailing Address
-- SHADY SAMUEL
18 JEROME AVE
MINEOLA, NY 11501-3302
Phone number:
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