Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 034410 | NY |
NPI | 1124087283 |
---|---|
Provider Name | Dr. Steven Dean Svetcov |
First Address | Oakland Gardens, NY 11364 |
Second Address | Oakland Gardens, NY 11364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2006 |
Last Update Date | 20/05/2014 |