Most Relevant Information
Provider Data
| NPI Number: | 1003819012 |
| Provider Name: | GARY WILLIAM LEDERMAN DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 038556 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
100 CENTRE AVE
BELLMORE
NY
117103427
Practice Location Phone/Fax
| Phone: | 5167850032 |
| Fax: |
Provider Mailing Location
100 CENTRE AVE
BELLMORE
NY
117103427
Provider Mailing Phone/Fax
| Phone: | 5167850032 |
| Fax: |