| Jeffrey D Haimson Dmd Pllc | |
|
8306 Northern Blvd Jackson Heights NY 11372-1460 | |
| (718) 429-0440 | |
| (718) 429-0342 |
| Full Name | Jeffrey D Haimson Dmd Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8306 Northern Blvd, Jackson Heights, New York |
| Authorized Official Name and Position | Jeffrey D Haimson (OWNER) |
| Authorized Official Contact | 7184290440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey D Haimson Dmd Pllc 83 06 Northern Boulevard Jackson Heights NY 07054-1460 Ph: (718) 429-0440 | Jeffrey D Haimson Dmd Pllc 8306 Northern Blvd Jackson Heights NY 11372-1460 Ph: (718) 429-0440 |
| NPI Number | 1417116013 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417116013 | NPI | - | NPPES |
| 01221392 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 042896 (New York) | Primary |
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