| Mrd Healthcare | |
|
256 Beach 20th St Far Rockaway NY 11691-3618 | |
| (718) 327-1184 | |
| (718) 471-5848 |
| Full Name | Mrd Healthcare |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 256 Beach 20th St, Far Rockaway, New York |
| Authorized Official Name and Position | Michael Dagostino (CEO) |
| Authorized Official Contact | 7182098500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mrd Healthcare 256 Beach 20th St Far Rockaway NY 11691-3618 Ph: (718) 327-1184 | Mrd Healthcare 256 Beach 20th St Far Rockaway NY 11691-3618 Ph: (718) 327-1184 |
| NPI Number | 1568636603 |
|---|---|
| Provider Enumeration Date | 04/19/2008 |
| Last Update Date | 04/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568636603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 049832 (New York) | Primary |
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