| Crestwood Dental Services,p.c. | |
|
40 Fisher Ave Tuckahoe NY 10707-2610 | |
| (914) 793-4411 | |
| (914) 793-6949 |
| Full Name | Crestwood Dental Services,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 40 Fisher Ave, Tuckahoe, New York |
| Authorized Official Name and Position | Frank Graziano (PRESIDENT) |
| Authorized Official Contact | 9147934411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestwood Dental Services,p.c. 40 Fisher Ave Tuckahoe NY 10707-2610 Ph: () - | Crestwood Dental Services,p.c. 40 Fisher Ave Tuckahoe NY 10707-2610 Ph: (914) 793-4411 |
| NPI Number | 1548565534 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 01/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548565534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 037917 (New York) | Primary |
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