Provider Demographics
NPI:1023008554
Name:SHANDLER, HARVEY (DMD,MS)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:
Last Name:SHANDLER
Suffix:
Gender:M
Credentials:DMD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6110
Mailing Address - Country:US
Mailing Address - Phone:845-634-1131
Mailing Address - Fax:
Practice Address - Street 1:42 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-2505
Practice Address - Country:US
Practice Address - Phone:845-735-5663
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY327641223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery