| Kenneth A. Paticoff, Dds, Pc | |
|
1992 Deer Park Ave Deer Park NY 11729-2701 | |
| (631) 667-0004 | |
| Not Available |
| Full Name | Kenneth A. Paticoff, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1992 Deer Park Ave, Deer Park, New York |
| Authorized Official Name and Position | Kenneth A Paticoff (OWNER) |
| Authorized Official Contact | 6316670004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth A. Paticoff, Dds, Pc 1992 Deer Park Ave Deer Park NY 11729-2701 Ph: (631) 667-0004 | Kenneth A. Paticoff, Dds, Pc 1992 Deer Park Ave Deer Park NY 11729-2701 Ph: (631) 667-0004 |
| NPI Number | 1285776922 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 01/11/2013 |
| Medicare PECOS PAC ID | 2769570720 |
|---|---|
| Medicare Enrollment ID | O20071109000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285776922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Kenneth A Paticoff |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1174506976 PECOS PAC ID: 6800988544 Enrollment ID: I20070824000789 |
Roumiana Tzvetkova, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Commack Rd Ste 3, Deer Park, NY 11729 Phone: 631-392-2075 | |
Zeynep Ulku Dds Dmsc Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1644 Deer Park Ave, Suite 1, Deer Park, NY 11729 Phone: 631-992-7155 Fax: 631-667-1872 | |
Raphaelson Dental Associates Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Grand Blvd, Deer Park, NY 11729 Phone: 631-667-4080 Fax: 631-667-4261 | |
Prosthodontic Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1644 Deer Park Ave, Deer Park, NY 11729 Phone: 631-243-2929 | |
Young Hoon Chung Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Baldwin Path, Deer Park, NY 11729 Phone: 631-566-1959 | |
Patricia Breen Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2053 Deer Park Ave, Deer Park, NY 11729 Phone: 631-254-6596 |