| E Mena Dds,pc | |
|
600 W 150th St Apt 2 New York NY 10031-2465 | |
| (212) 694-2277 | |
| (212) 694-3789 |
| Full Name | E Mena Dds,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 600 W 150th St Apt 2, New York, New York |
| Authorized Official Name and Position | Anny Florian (MANAGER) |
| Authorized Official Contact | 2126942277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E Mena Dds,pc 600 W 150th St Apt 2 New York NY 10031-2465 Ph: (212) 694-2277 | E Mena Dds,pc 600 W 150th St Apt 2 New York NY 10031-2465 Ph: (212) 694-2277 |
| NPI Number | 1629285853 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629285853 | NPI | - | NPPES |
| 01708901 | Medicaid | NY | |
| 02366076 | Medicaid | NY | |
| 01182154 | Medicaid | NY | |
| 01632008 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 042603 (New York) | Primary |
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