| Jeffrey Carrasquillo Dmd Pllc | |
|
66-25 Maurice Ave Woodside NY 11372 | |
| (718) 651-5941 | |
| (718) 261-4742 |
| Full Name | Jeffrey Carrasquillo Dmd Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 66-25 Maurice Ave, Woodside, New York |
| Authorized Official Name and Position | Jeffrey Carrasquillo (PRESIDENT) |
| Authorized Official Contact | 7182610260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Carrasquillo Dmd Pllc 90-05 70th Drive Forest Hills NY 11375 Ph: (718) 261-0260 | Jeffrey Carrasquillo Dmd Pllc 66-25 Maurice Ave Woodside NY 11372 Ph: (718) 651-5941 |
| NPI Number | 1376765859 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 11/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376765859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 045010 (New York) | Primary |
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