| Modern Dental Concepts Of Ny, Pc | |
|
1595 Straight Path Wyandanch NY 11798-2407 | |
| (516) 343-2772 | |
| Not Available |
| Full Name | Modern Dental Concepts Of Ny, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1595 Straight Path, Wyandanch, New York |
| Authorized Official Name and Position | Leonid Reznik (PRESIDENT) |
| Authorized Official Contact | 5163432772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental Concepts Of Ny, Pc 1595 Straight Path Wyandanch NY 11798-2407 Ph: (516) 343-2772 | Modern Dental Concepts Of Ny, Pc 1595 Straight Path Wyandanch NY 11798-2407 Ph: (516) 343-2772 |
| NPI Number | 1609048461 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609048461 | NPI | - | NPPES |
| 02156141 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 049260-1 (New York) | Primary |
Wyandanch Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Straight Path, Wyandanch, NY 11798 Phone: 631-643-3800 Fax: 631-253-4292 | |
Visiting Dental Services, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Straight Path, Wyandanch, NY 11798 Phone: 516-343-2772 | |
Preetika Gupta Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Straight Path, Wyandanch, NY 11798 Phone: 631-643-3800 Fax: 631-253-4292 |