| Acosta And Raider Llc | |
|
888 Route 6 Mahopac NY 10541-6201 | |
| (845) 628-3700 | |
| (845) 628-3010 |
| Full Name | Acosta And Raider Llc |
|---|---|
| Speciality | Dentist |
| Location | 888 Route 6, Mahopac, New York |
| Authorized Official Name and Position | Mark E Raider (DENTIST/OWNER) |
| Authorized Official Contact | 6175048712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acosta And Raider Llc 888 Route 6 Mahopac NY 10541-6201 Ph: (845) 628-3700 | Acosta And Raider Llc 888 Route 6 Mahopac NY 10541-6201 Ph: (845) 628-3700 |
| NPI Number | 1528364551 |
|---|---|
| Provider Enumeration Date | 02/09/2011 |
| Last Update Date | 02/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528364551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50052961 (New York) | Primary |
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