| Barry Noskow Dds, Pc | |
|
5824 14th Ave Brooklyn NY 11219-4623 | |
| (718) 438-8400 | |
| Not Available |
| Full Name | Barry Noskow Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5824 14th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Barry Noskow (PRESIDENT) |
| Authorized Official Contact | 7184353522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry Noskow Dds, Pc 1303 53rd St # 139 Brooklyn NY 11219-3823 Ph: (718) 438-8400 | Barry Noskow Dds, Pc 5824 14th Ave Brooklyn NY 11219-4623 Ph: (718) 438-8400 |
| NPI Number | 1447236971 |
|---|---|
| Provider Enumeration Date | 12/16/2005 |
| Last Update Date | 07/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447236971 | NPI | - | NPPES |
| 00304843 | Medicaid | NY | |
| 6682510001 | Other | NSC PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 028971 (New York) | Primary |
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