| Greater New York Dental Group, P.c. | |
|
420 Palisade Ave 1j Yonkers NY 10703-2651 | |
| (914) 375-2870 | |
| Not Available |
| Full Name | Greater New York Dental Group, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 420 Palisade Ave, Yonkers, New York |
| Authorized Official Name and Position | Galina Ruzhansky (VICE-PRESIDENT) |
| Authorized Official Contact | 9143752870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater New York Dental Group, P.c. 420 Palisade Ave 1j Yonkers NY 10703-2651 Ph: (914) 375-2870 | Greater New York Dental Group, P.c. 420 Palisade Ave 1j Yonkers NY 10703-2651 Ph: (914) 375-2870 |
| NPI Number | 1568633725 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568633725 | NPI | - | NPPES |
| 01526067 | Medicaid | NY | |
| 01526003 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 045668 (New York) | Primary |
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