| Hollywood Orthodontics Pc- | |
|
9438 60th Ave Elmhurst NY 11373-5070 | |
| (718) 595-0050 | |
| Not Available |
| Full Name | Hollywood Orthodontics Pc- |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 9438 60th Ave, Elmhurst, New York |
| Authorized Official Name and Position | Peter Evan Feibish (OWNER) |
| Authorized Official Contact | 7185950050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollywood Orthodontics Pc- 9438 60th Ave Elmhurst NY 11373-5070 Ph: (718) 595-0050 | Hollywood Orthodontics Pc- 9438 60th Ave Elmhurst NY 11373-5070 Ph: (718) 595-0050 |
| NPI Number | 1386065597 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 12/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386065597 | NPI | - | NPPES |
| 02958643 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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