| Long Island Orthodontics Of North S Hore Pllc | |
|
1 School St Ste 304 Glen Cove NY 11542-2529 | |
| (516) 674-4557 | |
| Not Available |
| Full Name | Long Island Orthodontics Of North S Hore Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1 School St Ste 304, Glen Cove, New York |
| Authorized Official Name and Position | Isaac Mizrahi (CEO) |
| Authorized Official Contact | 6464132935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Orthodontics Of North S Hore Pllc 1 School St Ste 304 Glen Cove NY 11542-2529 Ph: (516) 674-4557 | Long Island Orthodontics Of North S Hore Pllc 1 School St Ste 304 Glen Cove NY 11542-2529 Ph: (516) 674-4557 |
| NPI Number | 1154299352 |
|---|---|
| Provider Enumeration Date | 10/28/2025 |
| Last Update Date | 10/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154299352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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