| R & I Dental, Pllc | |
|
9302 101st Ave Ozone Park NY 11416-2308 | |
| (718) 323-9999 | |
| (718) 323-1076 |
| Full Name | R & I Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9302 101st Ave, Ozone Park, New York |
| Authorized Official Name and Position | Robert Ilyayev (OWNER) |
| Authorized Official Contact | 7183239999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R & I Dental, Pllc 9302 101st Ave Ozone Park NY 11416-2308 Ph: (718) 323-9999 | R & I Dental, Pllc 9302 101st Ave Ozone Park NY 11416-2308 Ph: (718) 323-9999 |
| NPI Number | 1144474180 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 11/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144474180 | NPI | - | NPPES |
| 02379431 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 050069 (New York) | Primary |
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