| Hudson Valley Dentist 4u | |
|
186 Broadway Port Ewen NY 12466-7707 | |
| (845) 331-9150 | |
| (718) 851-0240 |
| Full Name | Hudson Valley Dentist 4u |
|---|---|
| Speciality | Dentist |
| Location | 186 Broadway, Port Ewen, New York |
| Authorized Official Name and Position | Leslie Cohen (PRESIDENT) |
| Authorized Official Contact | 9174163681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Valley Dentist 4u 85 Pomona Rd Suffern NY 10901-1919 Ph: (917) 416-3681 | Hudson Valley Dentist 4u 186 Broadway Port Ewen NY 12466-7707 Ph: (845) 331-9150 |
| NPI Number | 1396886313 |
|---|---|
| Provider Enumeration Date | 02/11/2007 |
| Last Update Date | 06/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396886313 | NPI | - | NPPES |
| 00989482 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 040434-1 (New York) | Primary |
Dentist 4 U Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 186 Broadway, Port Ewen, NY 12466 Phone: 845-331-9150 Fax: 845-331-8846 |