Pediatric Dentistry Of Poughkeepsie, Pllc | |
243 North Rd Ste 1b Poughkeepsie NY 12601-1172 | |
(845) 454-3025 | |
(845) 454-3054 |
Full Name | Pediatric Dentistry Of Poughkeepsie, Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 243 North Rd Ste 1b, Poughkeepsie, New York |
Authorized Official Name and Position | Mayer Hersh Noskow (SOLE MEMBER) |
Authorized Official Contact | 8454543025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pediatric Dentistry Of Poughkeepsie, Pllc 243 North Rd Ste 1b Poughkeepsie NY 12601-1172 Ph: (845) 454-3025 | Pediatric Dentistry Of Poughkeepsie, Pllc 243 North Rd Ste 1b Poughkeepsie NY 12601-1172 Ph: (845) 454-3025 |
NPI Number | 1215319124 |
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Provider Enumeration Date | 06/26/2015 |
Last Update Date | 10/05/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215319124 | NPI | - | NPPES |
03541691 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 055623 (New York) | Primary |
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