| Nslij Dental Medicine | |
|
400 Community Dr Manhasset NY 11030-3815 | |
| (347) 209-4779 | |
| Not Available |
| Full Name | Nslij Dental Medicine |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 400 Community Dr, Manhasset, New York |
| Authorized Official Name and Position | Miranda Krivca (DENTAL GENERAL PRACTICE RESIDENT) |
| Authorized Official Contact | 3472094779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nslij Dental Medicine 400 Community Dr Manhasset NY 11030-3815 Ph: (347) 209-4779 | Nslij Dental Medicine 400 Community Dr Manhasset NY 11030-3815 Ph: (347) 209-4779 |
| NPI Number | 1255724878 |
|---|---|
| Provider Enumeration Date | 03/05/2015 |
| Last Update Date | 10/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255724878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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