| Advanced Dental Care Of Nyc Pc | |
|
142 Joralemon St 6ef Brooklyn NY 11201-4747 | |
| (718) 624-1970 | |
| Not Available |
| Full Name | Advanced Dental Care Of Nyc Pc |
|---|---|
| Speciality | Dentist |
| Location | 142 Joralemon St, Brooklyn, New York |
| Authorized Official Name and Position | Rabiel Amirian (PRESIDENT) |
| Authorized Official Contact | 7186241970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Care Of Nyc Pc 142 Joralemon St 6ef Brooklyn NY 11201-4747 Ph: (718) 624-1970 | Advanced Dental Care Of Nyc Pc 142 Joralemon St 6ef Brooklyn NY 11201-4747 Ph: (718) 624-1970 |
| NPI Number | 1184940611 |
|---|---|
| Provider Enumeration Date | 04/08/2010 |
| Last Update Date | 04/13/2017 |
| Medicare PECOS PAC ID | 1557638574 |
|---|---|
| Medicare Enrollment ID | O20170523002049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184940611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 052892 (New York) | Primary |
| Provider Name | Daniel Cohen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548644511 PECOS PAC ID: 0345517397 Enrollment ID: I20170524000088 |
| Provider Name | Viren Abreo |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740677137 PECOS PAC ID: 0547537599 Enrollment ID: I20170524000378 |
| Provider Name | Omar Armstrong |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023334299 PECOS PAC ID: 0547537409 Enrollment ID: I20170524000805 |
| Provider Name | Imanuel Babayev |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477840270 PECOS PAC ID: 4284929282 Enrollment ID: I20170804001472 |
| Provider Name | Rabiel Amirian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1114143963 PECOS PAC ID: 9032489737 Enrollment ID: I20170808000913 |
| Provider Name | Victoria Laor |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1790818722 PECOS PAC ID: 6305151911 Enrollment ID: I20170809001596 |
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