DR. Charles Michael Neidorff, DDS

NPI #1689826455 in Hicksville, New York

Provider Information

NPI Number: 1689826455
Entity Type: Individual
Name: DR. Charles Michael Neidorff, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 10, 2008
Last Updated: Oct 10, 2008

Practice Location

Address: 400 S OYSTER BAY RD
Address 2: SUITE 206
City: Hicksville
State: New York
ZIP Code: 11801-3500
Phone: (516) 822-4488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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