| Dental Care Of Manhasset, P.c. | |
|
1185 Northern Blvd Manhasset NY 11030-3017 | |
| (516) 441-5142 | |
| (516) 441-5146 |
| Full Name | Dental Care Of Manhasset, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1185 Northern Blvd, Manhasset, New York |
| Authorized Official Name and Position | Lev Yusupov (PRESIDENT) |
| Authorized Official Contact | 5164415142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care Of Manhasset, P.c. 1185 Northern Blvd Manhasset NY 11030-3017 Ph: (516) 441-5142 | Dental Care Of Manhasset, P.c. 1185 Northern Blvd Manhasset NY 11030-3017 Ph: (516) 441-5142 |
| NPI Number | 1225406101 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 09/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225406101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 50-057503 (New York) | Primary |
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