| Northern Catskill Dental Pc | |
|
6 Doubleday Ct Cooperstown NY 13326-1223 | |
| (607) 547-2313 | |
| (607) 547-6251 |
| Full Name | Northern Catskill Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6 Doubleday Ct, Cooperstown, New York |
| Authorized Official Name and Position | Nicholas Zacharczenko (OWNER) |
| Authorized Official Contact | 6075472313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Catskill Dental Pc 6 Doubleday Ct Cooperstown NY 13326-1223 Ph: () - | Northern Catskill Dental Pc 6 Doubleday Ct Cooperstown NY 13326-1223 Ph: (607) 547-2313 |
| NPI Number | 1639488083 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 10/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639488083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
David R. Bourque, D.d.s. , P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Doubleday Court, Northern Catskill Dental Associates, Cooperstown, NY 13326 Phone: 607-547-2313 Fax: 607-547-6251 | |
Northern Catskill Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Doubleday Ct, Cooperstown, NY 13326 Phone: 607-547-2313 Fax: 607-547-6251 |