| Far Rockaway Orthodontics, Pc | |
|
833 Central Ave Far Rockaway NY 11691-4652 | |
| (718) 868-1497 | |
| (718) 868-2600 |
| Full Name | Far Rockaway Orthodontics, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 833 Central Ave, Far Rockaway, New York |
| Authorized Official Name and Position | Robert Rubin (PRESIDENT) |
| Authorized Official Contact | 7188681497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Far Rockaway Orthodontics, Pc 833 Central Ave Far Rockaway NY 11691-4652 Ph: (718) 868-1497 | Far Rockaway Orthodontics, Pc 833 Central Ave Far Rockaway NY 11691-4652 Ph: (718) 868-1497 |
| NPI Number | 1538539705 |
|---|---|
| Provider Enumeration Date | 09/30/2015 |
| Last Update Date | 09/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538539705 | NPI | - | NPPES |
| 01067647 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 38848-1 (New York) | Primary |
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