| Livingston Dental Care Pc | |
|
366 Livingston Street Brooklyn NY 11217 | |
| (718) 722-7700 | |
| Not Available |
| Full Name | Livingston Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 366 Livingston Street, Brooklyn, New York |
| Authorized Official Name and Position | Yuliya Kushnir (PRESIDENT) |
| Authorized Official Contact | 17187227700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livingston Dental Care Pc 366 Livingston Street Brooklyn NY 11217 Ph: (718) 722-7700 | Livingston Dental Care Pc 366 Livingston Street Brooklyn NY 11217 Ph: (718) 722-7700 |
| NPI Number | 1508908997 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508908997 | NPI | - | NPPES |
| 02007683 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 047749 (New York) | Primary |
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