| Bayside Orthodontics Pllc | |
|
208-54 Cross Island Parkway Bayside NY 11360 | |
| (718) 631-0508 | |
| (718) 631-0509 |
| Full Name | Bayside Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 208-54 Cross Island Parkway, Bayside, New York |
| Authorized Official Name and Position | Inna Gellerman (OWNER) |
| Authorized Official Contact | 7186310508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Orthodontics Pllc 208-54 Cross Island Parkway Bayside NY 11360 Ph: (718) 631-0508 | Bayside Orthodontics Pllc 208-54 Cross Island Parkway Bayside NY 11360 Ph: (718) 631-0508 |
| NPI Number | 1538770672 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538770672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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