ROBERT DAVERSA

WESTBURY, NY
NPI1922336767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NY  040940)
Enumeration Date2009-12-04
Last Update Date2009-12-04
Business Address
Dr. ROBERT DAVERSA DDS
466 CANTERBURY ST
WESTBURY, NY 11590-1341
Phone number: 516-333-1954
Mailing Address
Dr. ROBERT DAVERSA DDS
466 CANTERBURY ST
WESTBURY, NY 11590-1341
Phone number: 516-333-1954