| Bernabe General Dentistry Pc | |
|
1916 Grand Concourse Suite 1a Bronx NY 10457-5201 | |
| (718) 716-1400 | |
| (718) 716-7025 |
| Full Name | Bernabe General Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1916 Grand Concourse, Bronx, New York |
| Authorized Official Name and Position | Hector Bolivar Bernabe (DENTIST/PRESIDENT) |
| Authorized Official Contact | 7187161400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernabe General Dentistry Pc 1916 Grand Concourse Suite 1a Bronx NY 10457-5201 Ph: (718) 716-1400 | Bernabe General Dentistry Pc 1916 Grand Concourse Suite 1a Bronx NY 10457-5201 Ph: (718) 716-1400 |
| NPI Number | 1366601189 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366601189 | NPI | - | NPPES |
| 01277687 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 043696 (New York) | Primary |
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