| Chainani Ashok Nanikram Bds,pc | |
|
253 Broad St Staten Island NY 10304-2042 | |
| (718) 720-0066 | |
| (718) 720-0002 |
| Full Name | Chainani Ashok Nanikram Bds,pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 253 Broad St, Staten Island, New York |
| Authorized Official Name and Position | Ashok N Chainani (PRESIDENT) |
| Authorized Official Contact | 7187200066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chainani Ashok Nanikram Bds,pc 45 Keune Ct Staten Island NY 10304-1430 Ph: (718) 720-0066 | Chainani Ashok Nanikram Bds,pc 253 Broad St Staten Island NY 10304-2042 Ph: (718) 720-0066 |
| NPI Number | 1508856501 |
|---|---|
| Provider Enumeration Date | 10/21/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508856501 | NPI | - | NPPES |
| 00842824 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 036727 (New York) | Primary |
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