| Eyal Waldman Dmd Pc | |
|
168 N Ocean Ave Patchogue NY 11772-2021 | |
| (631) 289-7179 | |
| (631) 289-0203 |
| Full Name | Eyal Waldman Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 168 N Ocean Ave, Patchogue, New York |
| Authorized Official Name and Position | Eyal Dov Waldman (OWNER) |
| Authorized Official Contact | 6312897179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eyal Waldman Dmd Pc 168 N Ocean Ave Patchogue NY 11772-2021 Ph: (631) 289-7179 | Eyal Waldman Dmd Pc 168 N Ocean Ave Patchogue NY 11772-2021 Ph: (631) 289-7179 |
| NPI Number | 1295980993 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 11/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295980993 | NPI | - | NPPES |
| 01346152 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 044126 (New York) | Primary |
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