| Michael B. Mcgrath, Dds, Pc | |
|
5108 Velasko Rd Syracuse NY 13215-1953 | |
| (315) 478-5719 | |
| (315) 478-5734 |
| Full Name | Michael B. Mcgrath, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5108 Velasko Rd, Syracuse, New York |
| Authorized Official Name and Position | Michael Burke Mcgrath (PRESIDENT) |
| Authorized Official Contact | 3154785719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael B. Mcgrath, Dds, Pc 5108 Velasko Rd Syracuse NY 13215-1953 Ph: (315) 478-5719 | Michael B. Mcgrath, Dds, Pc 5108 Velasko Rd Syracuse NY 13215-1953 Ph: (315) 478-5719 |
| NPI Number | 1124149745 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 02/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124149745 | NPI | - | NPPES |
| 00576903 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 027642 (New York) | Primary |
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