| Josefa A Rivas Dds Pc | |
|
4527 47 Street Woodside NY 11377 | |
| (718) 482-8065 | |
| (718) 482-8066 |
| Full Name | Josefa A Rivas Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4527 47 Street, Woodside, New York |
| Authorized Official Name and Position | Josefa Rivas (PRESIDENT) |
| Authorized Official Contact | 7184828065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Josefa A Rivas Dds Pc 4527 47th St Woodside NY 11377-5225 Ph: (718) 482-8065 | Josefa A Rivas Dds Pc 4527 47 Street Woodside NY 11377 Ph: (718) 482-8065 |
| NPI Number | 1831645407 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831645407 | NPI | - | NPPES |
| 02408822 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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