| Family Dental Associates Llp | |
|
211 Park Ave Mechanicville NY 12118 | |
| (518) 664-0762 | |
| (518) 664-0765 |
| Full Name | Family Dental Associates Llp |
|---|---|
| Speciality | Dentist |
| Location | 211 Park Ave, Mechanicville, New York |
| Authorized Official Name and Position | Petra Victoria Enzien (DENTIST PARTNER) |
| Authorized Official Contact | 5186640762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Associates Llp 211 Park Ave Mechanicville NY 12118 Ph: (518) 664-0762 | Family Dental Associates Llp 211 Park Ave Mechanicville NY 12118 Ph: (518) 664-0762 |
| NPI Number | 1164451035 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164451035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 046460 (New York) | Primary |
| 122300000X | Dentist | 0461981 (New York) | Secondary |
Vincent Fuschino, Dds, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 N Main St, Mechanicville, NY 12118 Phone: 518-664-4903 Fax: 518-664-2411 | |
Petra V. Enzien, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Park Ave, Mechanicville, NY 12118 Phone: 518-664-2500 Fax: 518-664-2501 |