Provider Demographics
NPI:1962670380
Name:GHERMAN, ERIC SETH (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:SETH
Last Name:GHERMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ELI
Other - Middle Name:
Other - Last Name:GHERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:380 HEMPSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-2052
Mailing Address - Country:US
Mailing Address - Phone:516-661-9428
Mailing Address - Fax:516-538-6024
Practice Address - Street 1:1520 50TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3745
Practice Address - Country:US
Practice Address - Phone:718-871-6663
Practice Address - Fax:718-431-2452
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048254-11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics