| Rainbow Dental, Pc | |
|
2533 36th Avenue Long Island City NY 11106-3209 | |
| (718) 433-0515 | |
| (718) 433-0515 |
| Full Name | Rainbow Dental, Pc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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