Anthony J. Perrotta Dds Pc | |
3771 Nesconset Hwy Suite 107 South Setauket NY 11720-1163 | |
(631) 689-6969 | |
(631) 689-6305 |
Full Name | Anthony J. Perrotta Dds Pc |
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Speciality | Dentist - General Practice |
Location | 3771 Nesconset Hwy, South Setauket, New York |
Authorized Official Name and Position | Anthony James Perrotta (PRESIDENT) |
Authorized Official Contact | 6316896969 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anthony J. Perrotta Dds Pc 3771 Nesconset Hwy Suite 107 South Setauket NY 11720-1163 Ph: (631) 689-6969 | Anthony J. Perrotta Dds Pc 3771 Nesconset Hwy Suite 107 South Setauket NY 11720-1163 Ph: (631) 689-6969 |
NPI Number | 1922265479 |
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Provider Enumeration Date | 05/21/2008 |
Last Update Date | 05/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922265479 | NPI | - | NPPES |
02361562 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 046607 (New York) | Primary |