| Lillian Kelner Dds Pc | |
|
430 Seaview Ave Staten Island NY 10305-3401 | |
| (718) 980-0844 | |
| Not Available |
| Full Name | Lillian Kelner Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 430 Seaview Ave, Staten Island, New York |
| Authorized Official Name and Position | Lillian Kelner (DENTIST) |
| Authorized Official Contact | 7189800844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lillian Kelner Dds Pc 430 Seaview Ave Staten Island NY 10305-3401 Ph: (718) 980-0844 | Lillian Kelner Dds Pc 430 Seaview Ave Staten Island NY 10305-3401 Ph: (718) 980-0844 |
| NPI Number | 1699898072 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699898072 | NPI | - | NPPES |
| 02145811 | Medicaid | NY | |
| 1664405411 | Other | NY | NPI PERSONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 261QD0000X (New York) | Primary |
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