| Chilmark Dental Pc | |
|
15 Pleasantville Rd Ossining NY 10562 | |
| (914) 941-2200 | |
| (914) 941-5174 |
| Full Name | Chilmark Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 15 Pleasantville Rd, Ossining, New York |
| Authorized Official Name and Position | Etta Joyce Lobel (DENTIST) |
| Authorized Official Contact | 9149412200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chilmark Dental Pc 15 Pleasantville Rd Ossining NY 10562 Ph: (914) 941-2200 | Chilmark Dental Pc 15 Pleasantville Rd Ossining NY 10562 Ph: (914) 941-2200 |
| NPI Number | 1669462750 |
|---|---|
| Provider Enumeration Date | 10/28/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669462750 | NPI | - | NPPES |
| 01005196 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0399661 (New York) | Primary |
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