Samuel Schaffer, DMD Valid NPI
Individual provider · Dentist · Bronx, NY
- NPI
- 1104895218
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 20066 (NY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-03-14
- Last updated
- 2007-07-08
Practice location
2110 Wallace Ave, 1a
Bronx, NY 10462
(718) 829-5060