| Michael A. Larosa Dds. P.c. | |
|
1050 French Rd Cheektowaga NY 14227-3704 | |
| (716) 668-8555 | |
| (716) 668-1110 |
| Full Name | Michael A. Larosa Dds. P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1050 French Rd, Cheektowaga, New York |
| Authorized Official Name and Position | Michael A. Larosa (PRESIDENT) |
| Authorized Official Contact | 7166688555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A. Larosa Dds. P.c. 1050 French Rd Cheektowaga NY 14227-3704 Ph: (716) 668-8555 | Michael A. Larosa Dds. P.c. 1050 French Rd Cheektowaga NY 14227-3704 Ph: (716) 668-8555 |
| NPI Number | 1477757821 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477757821 | NPI | - | NPPES |
| 00513209 | Other | UNITED CONCORDIA PROV. | |
| 4000528 | Other | NY | I.H.A. PROV. NUMBER |
| 040242 | Other | NY | NYS LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 040242 (New York) | Primary |
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