Provider Demographics
NPI:1396974374
Name:ALDIERI, DANIEL J (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:ALDIERI
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 1:375 FULTON ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-3454
Mailing Address - Country:US
Mailing Address - Phone:516-249-1188
Mailing Address - Fax:516-249-1194
Practice Address - Street 1:375 FULTON ST
Practice Address - Street 2:SUITE 1
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3454
Practice Address - Country:US
Practice Address - Phone:516-249-1188
Practice Address - Fax:516-249-1194
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049707122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist