| Jacob E. Orbach Dds, P.c. | |
|
15020 71st Ave Apt. 3c Flushing NY 11367-2147 | |
| (718) 551-4037 | |
| Not Available |
| Full Name | Jacob E. Orbach Dds, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 15020 71st Ave, Flushing, New York |
| Authorized Official Name and Position | Jacob E. Orbach (PRESIDENT) |
| Authorized Official Contact | 7185514037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob E. Orbach Dds, P.c. 15020 71st Ave Apt. 3c Flushing NY 11367-2147 Ph: (718) 551-4037 | Jacob E. Orbach Dds, P.c. 15020 71st Ave Apt. 3c Flushing NY 11367-2147 Ph: (718) 551-4037 |
| NPI Number | 1518141696 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 12/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518141696 | NPI | - | NPPES |
| 02567297 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 051503 (New York) | Primary |
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