Dentistry On Broadway | |
133 Broadway Lynbrook NY 11563 | |
(516) 825-8009 | |
(516) 825-1299 |
Full Name | Dentistry On Broadway |
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Speciality | Dentist - General Practice |
Location | 133 Broadway, Lynbrook, New York |
Authorized Official Name and Position | Antonio E. Oliviero (OWNER) |
Authorized Official Contact | 5168258009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dentistry On Broadway 133 Broadway Lynbrook NY 11563 Ph: (516) 825-8009 | Dentistry On Broadway 133 Broadway Lynbrook NY 11563 Ph: (516) 825-8009 |
NPI Number | 1730206350 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 10/14/2009 |
Identifier | Type | State | Issuer |
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1730206350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 045959 (New York) | Secondary |
1223G0001X | Dentist - General Practice | 052985 (New York) | Primary |
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