| Corona 26 Medical & Dental Management Pllc | |
|
10308 Roosevelt Ave # 2 Corona NY 11368-2330 | |
| (718) 533-7000 | |
| (718) 397-8000 |
| Full Name | Corona 26 Medical & Dental Management Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10308 Roosevelt Ave # 2, Corona, New York |
| Authorized Official Name and Position | Alicia Pitkouvich (MANAGER) |
| Authorized Official Contact | 9173918000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corona 26 Medical & Dental Management Pllc 10308 Roosevelt Ave # 2 Corona NY 11368-2330 Ph: (718) 533-7000 | Corona 26 Medical & Dental Management Pllc 10308 Roosevelt Ave # 2 Corona NY 11368-2330 Ph: (718) 533-7000 |
| NPI Number | 1326807025 |
|---|---|
| Provider Enumeration Date | 03/15/2024 |
| Last Update Date | 03/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326807025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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