Orthodontics & Pediatric Assoc Of Commack

Specialty details in registry · Commack, NY

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At a glance

164 Commack Rd, Commack, NY 11725

NPPES record updated Sep 18, 2008. Public records can lag behind changes at a practice.

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Practice location

164 Commack Rd Ste 4
Commack, NY 11725

Professional details: NPI, taxonomy & registry record

NPI1760631402

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 1223X0400X
Enumeration date: Sep 18, 2008
Record updated: Sep 18, 2008

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223X0400X · Primary

License reported: 048254 NY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

164 Commack Rd
Ste 4
Commack, NY 11725

Phone: (631) 499-3377
Fax: (631) 858-0586

Mailing address

164 COMMACK RD
STE 4
COMMACK, NY 11725

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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