| Phedryne Robert Dds, Pllc | |
|
1309 Dutch Broadway Valley Stream NY 11580-1534 | |
| (516) 307-1678 | |
| Not Available |
| Full Name | Phedryne Robert Dds, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1309 Dutch Broadway, Valley Stream, New York |
| Authorized Official Name and Position | Phedryne Robert (DENTIST) |
| Authorized Official Contact | 5163071678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phedryne Robert Dds, Pllc 1309 Dutch Broadway Valley Stream NY 11580-1534 Ph: (516) 307-1678 | Phedryne Robert Dds, Pllc 1309 Dutch Broadway Valley Stream NY 11580-1534 Ph: (516) 307-1678 |
| NPI Number | 1992001093 |
|---|---|
| Provider Enumeration Date | 02/07/2011 |
| Last Update Date | 02/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992001093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 054341-1 (New York) | Primary |
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