Provider Demographics
NPI:1902923212
Name:GREGORY J ALBANO DDS AND ROBERT BRUENS DDS
Entity Type:Organization
Organization Name:GREGORY J ALBANO DDS AND ROBERT BRUENS DDS
Other - Org Name:DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALBANO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-352-7020
Mailing Address - Street 1:806 JERICHO TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040
Mailing Address - Country:US
Mailing Address - Phone:516-352-7020
Mailing Address - Fax:516-352-4474
Practice Address - Street 1:806 JERICHO TURNPIKE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040
Practice Address - Country:US
Practice Address - Phone:516-352-7020
Practice Address - Fax:516-352-4474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0386431223G0001X
NY0386451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty