| Picasso Dental Office Pc | |
|
4010 National St Corona NY 11368-2366 | |
| (718) 505-1934 | |
| (718) 505-1942 |
| Full Name | Picasso Dental Office Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4010 National St, Corona, New York |
| Authorized Official Name and Position | Aisel Felix (OWNER) |
| Authorized Official Contact | 7185050934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Picasso Dental Office Pc 12 Hartwell Pl Woodmere NY 11598-1222 Ph: (917) 292-9314 | Picasso Dental Office Pc 4010 National St Corona NY 11368-2366 Ph: (718) 505-1934 |
| NPI Number | 1477845535 |
|---|---|
| Provider Enumeration Date | 05/09/2011 |
| Last Update Date | 05/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477845535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (New York) | Primary |
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