| One Endo Support Services | |
|
515 Halstead Ave Mamaroneck NY 10543-2715 | |
| (914) 777-9465 | |
| (914) 777-9467 |
| Full Name | One Endo Support Services |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 515 Halstead Ave, Mamaroneck, New York |
| Authorized Official Name and Position | Lori Miceli (INSURANCE COORDINATOR) |
| Authorized Official Contact | 9147779465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Endo Support Services 515 Halstead Ave Mamaroneck NY 10543-2715 Ph: (914) 777-9465 | One Endo Support Services 515 Halstead Ave Mamaroneck NY 10543-2715 Ph: (914) 777-9465 |
| NPI Number | 1780332973 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780332973 | NPI | - | NPPES |
| 12538 | Other | CT | ENDODONTICS |
| 1326131236 | Other | ENDODONTICS | |
| 059156 | Other | NY | ENDODONTICS |
| 060253 | Other | NY | ENDODONTICS |
| 049672 | Other | NY | ENDODONTICS |
| 059403 | Other | NY | ENDODONTICS |
| 12542 | Other | CT | ENDODONTICS |
| 1023471372 | Other | ENDODONTICS | |
| 1114459328 | Other | ENDODONTICS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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