| Geetha Balamurugan,d.d.s.,p.c. | |
|
116 Broadway Amityville NY 11701-2797 | |
| (631) 264-2610 | |
| (631) 264-2612 |
| Full Name | Geetha Balamurugan,d.d.s.,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 116 Broadway, Amityville, New York |
| Authorized Official Name and Position | Geetha Balamurugan (PRESIDENT) |
| Authorized Official Contact | 6312642610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geetha Balamurugan,d.d.s.,p.c. 116 Broadway Amityville NY 11701-2797 Ph: (631) 264-2610 | Geetha Balamurugan,d.d.s.,p.c. 116 Broadway Amityville NY 11701-2797 Ph: (631) 264-2610 |
| NPI Number | 1275735185 |
|---|---|
| Provider Enumeration Date | 06/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275735185 | NPI | - | NPPES |
| 02249278 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 049539-1 (New York) | Primary |
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