| David Mitola, D.d.s., L.l.c. | |
|
70 Remsen St Cohoes NY 12047-2833 | |
| (518) 237-0700 | |
| Not Available |
| Full Name | David Mitola, D.d.s., L.l.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 70 Remsen St, Cohoes, New York |
| Authorized Official Name and Position | David Mitola (OWNER) |
| Authorized Official Contact | 5182370700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Mitola, D.d.s., L.l.c. 70 Remsen St Cohoes NY 12047-2833 Ph: () - | David Mitola, D.d.s., L.l.c. 70 Remsen St Cohoes NY 12047-2833 Ph: (518) 237-0700 |
| NPI Number | 1013392489 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 07/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013392489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 054551 (New York) | Primary |
Frederick J. Marra, D.m.d. Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Main St, Cohoes, NY 12047 Phone: 518-237-0019 Fax: 518-237-5461 |