| A&b Scarsdale Dental | |
|
237 Willis Ave Bronx NY 10454-2678 | |
| (718) 292-6311 | |
| (718) 401-6875 |
| Full Name | A&b Scarsdale Dental |
|---|---|
| Speciality | Dentist |
| Location | 237 Willis Ave, Bronx, New York |
| Authorized Official Name and Position | Alexander Musheyev (DENTIST) |
| Authorized Official Contact | 7182926311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A&b Scarsdale Dental 237 Willis Ave Bronx NY 10454-2678 Ph: (718) 292-6311 | A&b Scarsdale Dental 237 Willis Ave Bronx NY 10454-2678 Ph: (718) 292-6311 |
| NPI Number | 1184896607 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/25/2008 |
| Medicare PECOS PAC ID | 1052717642 |
|---|---|
| Medicare Enrollment ID | O20210907003041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184896607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 048493 (New York) | Primary |
| Provider Name | Boris Katayev |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144356247 PECOS PAC ID: 8628490737 Enrollment ID: I20200618001714 |
| Provider Name | Alexander Musheyev |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1093939365 PECOS PAC ID: 0547682676 Enrollment ID: I20200618002683 |
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