| Mccue Dntal | |
|
20 Bridge St Pulaski NY 13142-4403 | |
| (315) 779-2222 | |
| Not Available |
| Full Name | Mccue Dntal |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20 Bridge St, Pulaski, New York |
| Authorized Official Name and Position | Thomas Patrick Mccue (DENTIST) |
| Authorized Official Contact | 3157792222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccue Dntal 20 Bridge St Pulaski NY 13142-4403 Ph: (315) 779-2222 | Mccue Dntal 20 Bridge St Pulaski NY 13142-4403 Ph: (315) 779-2222 |
| NPI Number | 1609114487 |
|---|---|
| Provider Enumeration Date | 01/29/2013 |
| Last Update Date | 01/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609114487 | NPI | - | NPPES |
| 03085949 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 053972 (New York) | Primary |
Smile Factory Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Bridge Street, Pulaski, NY 13142 Phone: 315-298-5155 |