| North Shore Orthodontics | |
|
1815 Francis Lewis Blvd Whitestone NY 11357-3836 | |
| (718) 746-8900 | |
| Not Available |
| Full Name | North Shore Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1815 Francis Lewis Blvd, Whitestone, New York |
| Authorized Official Name and Position | Scott Friedman (MEMBER) |
| Authorized Official Contact | 7187468900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Orthodontics 1815 Francis Lewis Blvd Whitestone NY 11357-3836 Ph: (718) 746-8900 | North Shore Orthodontics 1815 Francis Lewis Blvd Whitestone NY 11357-3836 Ph: (718) 746-8900 |
| NPI Number | 1043378680 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043378680 | NPI | - | NPPES |
| 01076008 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 034366 (New York) | Primary |
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