| Melvin H Pearson, Dds, Pc | |
|
3436 Richmond Ave Staten Island NY 10312-3227 | |
| (718) 948-5100 | |
| Not Available |
| Full Name | Melvin H Pearson, Dds, Pc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 3436 Richmond Ave, Staten Island, New York |
| Authorized Official Name and Position | Melvin Henry Pearson (ORTHODONTIST) |
| Authorized Official Contact | 7189485100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melvin H Pearson, Dds, Pc 3436 Richmond Ave Staten Island NY 10312-3227 Ph: (718) 948-5100 | Melvin H Pearson, Dds, Pc 3436 Richmond Ave Staten Island NY 10312-3227 Ph: (718) 948-5100 |
| NPI Number | 1033517909 |
|---|---|
| Provider Enumeration Date | 12/09/2014 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 0547564742 |
|---|---|
| Medicare Enrollment ID | O20160209001455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033517909 | NPI | - | NPPES |
| 02966241 | Medicaid | NY |
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