Middle Island Dental Care Pllc | |
325 Middle Country Rd Selden NY 11784-2545 | |
(631) 696-6600 | |
Not Available |
Full Name | Middle Island Dental Care Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 325 Middle Country Rd, Selden, New York |
Authorized Official Name and Position | Victor Katsman (OWNER) |
Authorized Official Contact | 5163027372 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Middle Island Dental Care Pllc 2 Amy Pl White Plains NY 10605-3902 Ph: (516) 302-7372 | Middle Island Dental Care Pllc 325 Middle Country Rd Selden NY 11784-2545 Ph: (631) 696-6600 |
NPI Number | 1427688373 |
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Provider Enumeration Date | 01/20/2020 |
Last Update Date | 01/20/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427688373 | NPI | - | NPPES |
03269418 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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