Most Relevant Information
Provider Data
| NPI Number: | 1003218421 |
| Provider Name: | SUSAN COVEN D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0300X |
| Specialty: | Dentist |
| License Number: | 036475 |
Most Important Dates
| Enumeration Date: | 09/17/2014 |
| Last Updated: | 09/17/2014 |
Provider Practice Location
29 BARSTOW RD
105
GREAT NECK
NY
110212222
Practice Location Phone/Fax
| Phone: | 5164663611 |
| Fax: | 5164669398 |
Provider Mailing Location
29 BARSTOW RD
105
GREAT NECK
NY
110212222
Provider Mailing Phone/Fax
| Phone: | 5164663611 |
| Fax: | 5164669398 |