| Pco Ortho Llc | |
|
3422 35th St Long Island City NY 11106-1268 | |
| (646) 496-6696 | |
| Not Available |
| Full Name | Pco Ortho Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3422 35th St, Long Island City, New York |
| Authorized Official Name and Position | Tatiya Ungphakorn (PARTNER) |
| Authorized Official Contact | 6464966696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pco Ortho Llc 301 E 22nd St Apt 9m New York NY 10010-4821 Ph: (646) 496-6696 | Pco Ortho Llc 3422 35th St Long Island City NY 11106-1268 Ph: (646) 496-6696 |
| NPI Number | 1376177782 |
|---|---|
| Provider Enumeration Date | 02/24/2020 |
| Last Update Date | 02/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376177782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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