Provider Demographics
NPI:1851464101
Name:E A DUANE AND B R MCCURDY PARTNERS
Entity Type:Organization
Organization Name:E A DUANE AND B R MCCURDY PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FRONT DESK
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:O
Authorized Official - Last Name:ROCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-669-0107
Mailing Address - Street 1:501 PEASE LN
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-3420
Mailing Address - Country:US
Mailing Address - Phone:631-669-0107
Mailing Address - Fax:631-669-0268
Practice Address - Street 1:501 PEASE LN
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-3420
Practice Address - Country:US
Practice Address - Phone:631-669-0107
Practice Address - Fax:631-669-0268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0343881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty