Provider Demographics
NPI:1497808349
Name:HYMOWITZ, SAMUEL S (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:S
Last Name:HYMOWITZ
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 1:82 DUCKPOND DR
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-4031
Mailing Address - Country:US
Mailing Address - Phone:516-621-6415
Mailing Address - Fax:
Practice Address - Street 1:82 DUCKPOND DR
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-4031
Practice Address - Country:US
Practice Address - Phone:516-621-6415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0275621223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics