| Domenick F. D'angelica | |
|
1425 E Gun Hill Rd Bronx NY 10469-3066 | |
| (718) 671-0480 | |
| Not Available |
| Full Name | Domenick F. D'angelica |
|---|---|
| Speciality | Dentist |
| Location | 1425 E Gun Hill Rd, Bronx, New York |
| Authorized Official Name and Position | Domenick F D'angelica (OWNER) |
| Authorized Official Contact | 7186710480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Domenick F. D'angelica 1425 E Gun Hill Rd Bronx NY 10469-3066 Ph: (718) 671-0480 | Domenick F. D'angelica 1425 E Gun Hill Rd Bronx NY 10469-3066 Ph: (718) 671-0480 |
| NPI Number | 1740438787 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740438787 | NPI | - | NPPES |
| 01005141 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23148 (New York) | Primary |
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