MEDICARE: DR. NOGID & STERN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1821252321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. NOGID & STERN DDS

Provider Business Mailing Address
First Line	:	234 HEWES ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-8141
Country	:	US
Telephone Number	:	718-782-9425
Fax Number	:	718-782-5394

Provider Business Practice Location Address
First Line	:	234 HEWES ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-8141
Country	:	US
Telephone Number	:	718-782-9425
Fax Number	:	718-782-5394

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. HENRY NOGID
Credential	:	DDS
Telephone Number	:	718-782-9425

Provider Enumeration Date	:	07/14/2008
Last Update Date	:	07/14/2008

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