Hudson Valley Dentist 4u | |
186 Broadway Port Ewen NY 12466-7707 | |
(845) 331-9150 | |
(718) 851-0240 |
Full Name | Hudson Valley Dentist 4u |
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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 |
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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 |
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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 |