Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 027508 | NY |
NPI | 1093743130 |
---|---|
Provider Name | Dr. Martin Garfield |
First Address | Merrick, NY 11566-3445 |
Second Address | Merrick, NY 11566-3445 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 08/07/2007 |