EDWARD MARTIN PORTNOY

BAYSIDE, NY
NPI1275656282
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NY  037716)
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
Dr. EDWARD MARTIN PORTNOY DMD
3912 215TH ST
BAYSIDE, NY 11361-2130
Phone number: 718-225-2121
Mailing Address
Dr. EDWARD MARTIN PORTNOY DMD
3912 215TH ST
BAYSIDE, NY 11361-2130
Phone number: 718-225-2121