Lefferts Braces | |
10345 Lefferts Blvd South Richmond Hill NY 11419-2000 | |
(646) 505-8852 | |
Not Available |
Full Name | Lefferts Braces |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 10345 Lefferts Blvd, South Richmond Hill, New York |
Authorized Official Name and Position | Daniel Kuncio (PRESIDENT) |
Authorized Official Contact | 6465058852 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lefferts Braces 10345 Lefferts Blvd South Richmond Hill NY 11419-2000 Ph: () - | Lefferts Braces 10345 Lefferts Blvd South Richmond Hill NY 11419-2000 Ph: (646) 505-8852 |
NPI Number | 1235574278 |
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Provider Enumeration Date | 05/03/2013 |
Last Update Date | 05/03/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235574278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 051019 (New York) | Primary |
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