| Miellie Dental P.c. | |
|
59 E 54th St Suite #3 New York NY 10022-4211 | |
| (212) 688-6010 | |
| Not Available |
| Full Name | Miellie Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 59 E 54th St, New York, New York |
| Authorized Official Name and Position | Daniel F Di Costanzo (DENTIST) |
| Authorized Official Contact | 2126886010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miellie Dental P.c. 59 E 54th St Suite #3 New York NY 10022-4211 Ph: () - | Miellie Dental P.c. 59 E 54th St Suite #3 New York NY 10022-4211 Ph: (212) 688-6010 |
| NPI Number | 1124280763 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124280763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 048415-1 (New York) | Primary |
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