| New York Avenue Dental | |
|
3703 New York Ave Union City NJ 07087-4807 | |
| (201) 305-8800 | |
| (201) 305-8900 |
| Full Name | New York Avenue Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3703 New York Ave, Union City, New Jersey |
| Authorized Official Name and Position | Fadi I Beydoun (PRESIDENT) |
| Authorized Official Contact | 2013058800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Avenue Dental 3703 New York Ave Union City NJ 07087-4807 Ph: (201) 305-8800 | New York Avenue Dental 3703 New York Ave Union City NJ 07087-4807 Ph: (201) 305-8800 |
| NPI Number | 1588998405 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 09/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588998405 | NPI | - | NPPES |
| 0208540 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | 19152 (New Jersey) | Secondary |
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