| Dr. Miryem Kandinov D.d.s Pc | |
|
123-60 83 Ave Suite 2w Kew Gardens NY 11415 | |
| (718) 261-6310 | |
| (718) 261-1085 |
| Full Name | Dr. Miryem Kandinov D.d.s Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 123-60 83 Ave, Kew Gardens, New York |
| Authorized Official Name and Position | Miryem Kandinov (OWNER) |
| Authorized Official Contact | 7182616310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Miryem Kandinov D.d.s Pc 123-60 83 Ave Suite 2w Kew Gardens NY 11415 Ph: (718) 261-6310 | Dr. Miryem Kandinov D.d.s Pc 123-60 83 Ave Suite 2w Kew Gardens NY 11415 Ph: (718) 261-6310 |
| NPI Number | 1003087008 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003087008 | NPI | - | NPPES |
| 01474033 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 045011 (New York) | Primary |
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