Aida/usa Corporation | |
2120 Broadway Astoria NY 11106-4533 | |
(718) 255-6193 | |
(718) 255-6271 |
Full Name | Aida/usa Corporation |
---|---|
Speciality | Dentist |
Location | 2120 Broadway, Astoria, New York |
Authorized Official Name and Position | Dorian Cucereanu (PRESIDENT) |
Authorized Official Contact | 7182556271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aida/usa Corporation 2120 Broadway Astoria NY 11106-4533 Ph: (718) 255-6193 | Aida/usa Corporation 2120 Broadway Astoria NY 11106-4533 Ph: (718) 255-6193 |
NPI Number | 1770916991 |
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Provider Enumeration Date | 08/12/2013 |
Last Update Date | 08/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770916991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 050192 (New York) | Primary |
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