| Deepa Jayam, Dmd Pc | |
|
3709 Junction Blvd Corona NY 11368-1740 | |
| (516) 884-1654 | |
| Not Available |
| Full Name | Deepa Jayam, Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 3709 Junction Blvd, Corona, New York |
| Authorized Official Name and Position | Deepa Jayam (PRESIDENT) |
| Authorized Official Contact | 5168841654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deepa Jayam, Dmd Pc 3 Parkway Dr Roslyn Heights NY 11577-2705 Ph: (516) 656-0881 | Deepa Jayam, Dmd Pc 3709 Junction Blvd Corona NY 11368-1740 Ph: (516) 884-1654 |
| NPI Number | 1699071449 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 01/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699071449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 053694 (New York) | Primary |
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