Healthcare Provider Details

I. General information

NPI: 1669548525
Provider Name (Legal Business Name): ARI ALEXANDROVICH DRUZ DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 JERICHO TURNPIKE
MINEOLA NY
11501
US

IV. Provider business mailing address

121 JERICHO TURNPIKE
MINEOLA NY
11501
US

V. Phone/Fax

Practice location:
  • Phone: 516-746-1111
  • Fax:
Mailing address:
  • Phone: 516-746-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0468451
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number046845
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: