| Emanuel Mizrahi Dds Pc | |
|
10821 69th Rd Forest Hills NY 11375-3839 | |
| (718) 897-6666 | |
| (718) 263-7678 |
| Full Name | Emanuel Mizrahi Dds Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10821 69th Rd, Forest Hills, New York |
| Authorized Official Name and Position | Emanuel Mizrahi (PRESIDENT) |
| Authorized Official Contact | 7188976666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emanuel Mizrahi Dds Pc 10821 69th Rd Forest Hills NY 11375-3839 Ph: (718) 897-6666 | Emanuel Mizrahi Dds Pc 10821 69th Rd Forest Hills NY 11375-3839 Ph: (718) 897-6666 |
| NPI Number | 1053564948 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 10/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053564948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 042835 (New York) | Primary |
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