Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 052520 | NY |
NPI | 1053523449 |
---|---|
Provider Name | Dr. Doreen Faye Toskos |
First Address | Flushing, NY 11355-4914 |
Second Address | Garden City, NY 11530-5814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2007 |
Last Update Date | 08/07/2007 |