| Hanubal Gopalaswamy Dental Svcs.pc | |
|
57 E Eckerson Rd Spring Valley NY 10977-3014 | |
| (845) 426-2569 | |
| (845) 426-2366 |
| Full Name | Hanubal Gopalaswamy Dental Svcs.pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 57 E Eckerson Rd, Spring Valley, New York |
| Authorized Official Name and Position | Hanubal Gopalaswamy (DENTIST) |
| Authorized Official Contact | 8454262569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanubal Gopalaswamy Dental Svcs.pc 57 East Eckerson Road Spring Valley NY 10977-3014 Ph: (845) 426-2569 | Hanubal Gopalaswamy Dental Svcs.pc 57 E Eckerson Rd Spring Valley NY 10977-3014 Ph: (845) 426-2569 |
| NPI Number | 1073743928 |
|---|---|
| Provider Enumeration Date | 07/24/2009 |
| Last Update Date | 07/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073743928 | NPI | - | NPPES |
| 00442282 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 034889 (New York) | Primary |
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