Provider Demographics
NPI:1376694729
Name:BINDEROW, DONALD JAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:JAY
Last Name:BINDEROW
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 GLEN COVE RD
Mailing Address - Street 2:
Mailing Address - City:GREENVALE
Mailing Address - State:NY
Mailing Address - Zip Code:11548-1007
Mailing Address - Country:US
Mailing Address - Phone:516-621-3334
Mailing Address - Fax:516-203-7552
Practice Address - Street 1:73 GLEN COVE RD
Practice Address - Street 2:
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548-1007
Practice Address - Country:US
Practice Address - Phone:516-621-3334
Practice Address - Fax:516-203-7552
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY321501223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics