| Martin Bienenstock | |
|
2940 Ocean Pkwy Ste 2g Brooklyn NY 11235-8210 | |
| (718) 996-0300 | |
| (718) 996-0089 |
| Full Name | Martin Bienenstock |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2940 Ocean Pkwy Ste 2g, Brooklyn, New York |
| Authorized Official Name and Position | Martin Bienenstock (OWNER) |
| Authorized Official Contact | 7189960300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Bienenstock 2940 Ocean Pkwy Ste 2g Brooklyn NY 11235-8210 Ph: (718) 996-0300 | Martin Bienenstock 2940 Ocean Pkwy Ste 2g Brooklyn NY 11235-8210 Ph: (718) 996-0300 |
| NPI Number | 1124280888 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124280888 | NPI | - | NPPES |
| 00300312 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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