| North Shore- Long Island Jewish Health System | |
|
400 Community Dr Manhasset NY 11030-3815 | |
| (516) 562-4525 | |
| Not Available |
| Full Name | North Shore- Long Island Jewish Health System |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 400 Community Dr, Manhasset, New York |
| Authorized Official Name and Position | Sukrita Matta (DENTIST) |
| Authorized Official Contact | 9084101389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore- Long Island Jewish Health System 400 Community Dr Manhasset NY 11030-3815 Ph: () - | North Shore- Long Island Jewish Health System 400 Community Dr Manhasset NY 11030-3815 Ph: (516) 562-4525 |
| NPI Number | 1871810119 |
|---|---|
| Provider Enumeration Date | 04/27/2010 |
| Last Update Date | 04/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871810119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 052041 (New York) | Primary |
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