| Michael K Emanuel Dds Shirley Lew Dmd Pc | |
|
2053 East 16 Street Brooklyn NY 11229 | |
| (718) 336-5005 | |
| (718) 336-8679 |
| Full Name | Michael K Emanuel Dds Shirley Lew Dmd Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2053 East 16 Street, Brooklyn, New York |
| Authorized Official Name and Position | Michael K Emanuel (ORTHODONTIST PRESIDENT OF PROFESSIO) |
| Authorized Official Contact | 7183365005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael K Emanuel Dds Shirley Lew Dmd Pc 2053 East 16 Street Brooklyn NY 11229 Ph: (718) 336-5005 | Michael K Emanuel Dds Shirley Lew Dmd Pc 2053 East 16 Street Brooklyn NY 11229 Ph: (718) 336-5005 |
| NPI Number | 1386811933 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386811933 | NPI | - | NPPES |
| 01779620 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 30399 (New York) | Primary |
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