| Antonio Casanova Dds & Bruce Goldman Dmd Pllc | |
|
901 Stewart Ave Suite 200 Garden City NY 11530-4893 | |
| (516) 294-0202 | |
| (516) 294-3564 |
| Full Name | Antonio Casanova Dds & Bruce Goldman Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 901 Stewart Ave, Garden City, New York |
| Authorized Official Name and Position | Bruce Goldman (CO-OWNER) |
| Authorized Official Contact | 5162940202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Casanova Dds & Bruce Goldman Dmd Pllc 901 Stewart Ave Suite 200 Garden City NY 11530-4893 Ph: (516) 294-0202 | Antonio Casanova Dds & Bruce Goldman Dmd Pllc 901 Stewart Ave Suite 200 Garden City NY 11530-4893 Ph: (516) 294-0202 |
| NPI Number | 1609267780 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 02/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609267780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 042915 (New York) | Primary |
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