| Aids Dental Services | |
|
333 N Main St Freeport NY 11520-1231 | |
| (516) 623-4420 | |
| Not Available |
| Full Name | Aids Dental Services |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 333 N Main St, Freeport, New York |
| Authorized Official Name and Position | Robert Manfredi (DIRECTOR OF IT) |
| Authorized Official Contact | 5167337003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aids Dental Services 333 N Main St Freeport NY 11520-1231 Ph: (516) 623-4420 | Aids Dental Services 333 N Main St Freeport NY 11520-1231 Ph: (516) 623-4420 |
| NPI Number | 1588782650 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 11/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588782650 | NPI | - | NPPES |
| 01635336 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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