| Alan Ellman - Harvey Lindenbaum Dds | |
|
770 Middle Country Rd Middle Island NY 11953-2542 | |
| (631) 924-7997 | |
| (631) 924-7953 |
| Full Name | Alan Ellman - Harvey Lindenbaum Dds |
|---|---|
| Speciality | Dentist |
| Location | 770 Middle Country Rd, Middle Island, New York |
| Authorized Official Name and Position | Harvey Lindenbaum (OWNER) |
| Authorized Official Contact | 6319247997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Ellman - Harvey Lindenbaum Dds 770 Middle Country Rd Middle Island NY 11953-2542 Ph: (631) 924-7997 | Alan Ellman - Harvey Lindenbaum Dds 770 Middle Country Rd Middle Island NY 11953-2542 Ph: (631) 924-7997 |
| NPI Number | 1558365585 |
|---|---|
| Provider Enumeration Date | 06/08/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558365585 | NPI | - | NPPES |
| 00412533 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 29544 (New York) | Secondary |
| 122300000X | Dentist | 29649 (New York) | Primary |
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