| Patrice Ferguson Dds Pc | |
|
176 24a 126th Ave Jamaica NY 11434 | |
| (718) 949-1230 | |
| (718) 949-2035 |
| Full Name | Patrice Ferguson Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 176 24a 126th Ave, Jamaica, New York |
| Authorized Official Name and Position | Patrice Dianna Ferguson (DENTIST) |
| Authorized Official Contact | 7189491230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrice Ferguson Dds Pc 176 24a 126th Ave Jamaica NY 11434 Ph: (718) 949-1230 | Patrice Ferguson Dds Pc 176 24a 126th Ave Jamaica NY 11434 Ph: (718) 949-1230 |
| NPI Number | 1316950728 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316950728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 049050 (New York) | Primary |
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