| Manilal I.patel Dentist Pc | |
|
820 Suffolk Ave Brentwood NY 11717-4498 | |
| (631) 231-5566 | |
| (631) 231-0561 |
| Full Name | Manilal I.patel Dentist Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 820 Suffolk Ave, Brentwood, New York |
| Authorized Official Name and Position | Manilal I Patel (OWNER) |
| Authorized Official Contact | 6312315566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manilal I.patel Dentist Pc 820 Suffolk Ave Brentwood NY 11717-4498 Ph: (631) 231-5566 | Manilal I.patel Dentist Pc 820 Suffolk Ave Brentwood NY 11717-4498 Ph: (631) 231-5566 |
| NPI Number | 1912026840 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912026840 | NPI | - | NPPES |
| 00336383 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0034023 (New York) | Primary |
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