| Long Island Dentist, Pc | |
|
70 Glen St Ste 240 Glen Cove NY 11542-2859 | |
| (516) 759-0086 | |
| Not Available |
| Full Name | Long Island Dentist, Pc |
|---|---|
| Speciality | Dentist |
| Location | 70 Glen St Ste 240, Glen Cove, New York |
| Authorized Official Name and Position | Mariya Malin (OWNER) |
| Authorized Official Contact | 7183722800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Dentist, Pc 2250 86th St 2nd Floor Brooklyn NY 11214-4139 Ph: (718) 372-2800 | Long Island Dentist, Pc 70 Glen St Ste 240 Glen Cove NY 11542-2859 Ph: (516) 759-0086 |
| NPI Number | 1538521703 |
|---|---|
| Provider Enumeration Date | 03/25/2016 |
| Last Update Date | 03/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538521703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 053295 (New York) | Primary |
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