| Deborahninadentalofficepc | |
|
9203 Roosevelt Ave Jackson Heights NY 11372-7941 | |
| (718) 429-6622 | |
| (718) 429-6669 |
| Full Name | Deborahninadentalofficepc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9203 Roosevelt Ave, Jackson Heights, New York |
| Authorized Official Name and Position | Deborah Nina (OWNER) |
| Authorized Official Contact | 7184296622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborahninadentalofficepc 9203 Roosevelt Ave Jackson Heights NY 11372-7941 Ph: (718) 429-6622 | Deborahninadentalofficepc 9203 Roosevelt Ave Jackson Heights NY 11372-7941 Ph: (718) 429-6622 |
| NPI Number | 1881991214 |
|---|---|
| Provider Enumeration Date | 02/21/2011 |
| Last Update Date | 01/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881991214 | NPI | - | NPPES |
| 02348667 | Medicaid | NY |
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