| Balish&friedman | |
|
2161 Victory Blvd Staten Island NY 10314-6603 | |
| (718) 982-5440 | |
| (718) 982-5446 |
| Full Name | Balish&friedman |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2161 Victory Blvd, Staten Island, New York |
| Authorized Official Name and Position | Isaac Friedman (DENTIST) |
| Authorized Official Contact | 7189825440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balish&friedman 2161 Victory Blvd Staten Island NY 10314-6603 Ph: (718) 982-5440 | Balish&friedman 2161 Victory Blvd Staten Island NY 10314-6603 Ph: (718) 982-5440 |
| NPI Number | 1043486186 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043486186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 034817-2 (New York) | Primary |
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