Rainbow Dental, Pc | |
2533 36th Avenue Long Island City NY 11106-3209 | |
(718) 433-0515 | |
(718) 433-0515 |
Full Name | Rainbow Dental, Pc |
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Speciality | Dentist - General Practice |
Location | 2533 36th Avenue, Long Island City, New York |
Authorized Official Name and Position | Nabila Yasmin Mannan (DENTIST/OWNER) |
Authorized Official Contact | 7184330515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rainbow Dental, Pc 2533 36th Avenue Long Island City NY 11106-3209 Ph: (718) 433-0515 | Rainbow Dental, Pc 2533 36th Avenue Long Island City NY 11106-3209 Ph: (718) 433-0515 |
NPI Number | 1578713723 |
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Provider Enumeration Date | 09/24/2008 |
Last Update Date | 09/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578713723 | NPI | - | NPPES |
01821127 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 047199-1 (New York) | Primary |
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