Preetha A Kuruvilla Dds Pc | |
260-12 Hillside Ave Floral Park NY 11004 | |
(718) 347-8787 | |
Not Available |
Full Name | Preetha A Kuruvilla Dds Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 260-12 Hillside Ave, Floral Park, New York |
Authorized Official Name and Position | Preetha A Kuruvilla (PRESIDENT) |
Authorized Official Contact | 7183478787 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Preetha A Kuruvilla Dds Pc 26012 Hillside Ave Floral Park NY 11004-1745 Ph: (718) 347-8787 | Preetha A Kuruvilla Dds Pc 260-12 Hillside Ave Floral Park NY 11004 Ph: (718) 347-8787 |
NPI Number | 1316381437 |
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Provider Enumeration Date | 04/19/2013 |
Last Update Date | 04/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316381437 | NPI | - | NPPES |
02546129 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 048922 (New York) | Primary |
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