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500 Portion Rd Ste 216 Ronkonkoma NY 11779-4587 | |
| (631) 451-7700 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 500 Portion Rd Ste 216, Ronkonkoma, New York |
| Authorized Official Name and Position | Paraskevas Kourtsounis (OWNER) |
| Authorized Official Contact | 6314517700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
500 Portion Rd Ste 216 Ronkonkoma NY 11779-4587 Ph: (631) 451-7700 | 500 Portion Rd Ste 216 Ronkonkoma NY 11779-4587 Ph: (631) 451-7700 |
| NPI Number | 1750023123 |
|---|---|
| Provider Enumeration Date | 04/07/2022 |
| Last Update Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750023123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Ny Metro Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 966 Portion Rd, Ronkonkoma, NY 11779 Phone: 413-382-7022 | |
Concerned Dental Care Of Ronkonkoma, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 966 Portion Road, Ronkonkoma, NY 11779 Phone: 631-451-2245 |