| Robert J Lacarrubba Dds Pc | |
|
4927 Main Street Amherst NY 14226 | |
| (716) 631-2728 | |
| (716) 631-5824 |
| Full Name | Robert J Lacarrubba Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 4927 Main Street, Amherst, New York |
| Authorized Official Name and Position | Robert J Lacarrubba (OWNER DENTIST) |
| Authorized Official Contact | 7166312728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Lacarrubba Dds Pc 4927 Main Street Amherst NY 14226 Ph: (716) 631-2728 | Robert J Lacarrubba Dds Pc 4927 Main Street Amherst NY 14226 Ph: (716) 631-2728 |
| NPI Number | 1720257512 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720257512 | NPI | - | NPPES |
| A1941 | Other | NY | HEALTH PLEX |
| 01751248 | Medicaid | NY | |
| 4091831 | Other | NY | INDEPENDANT HEALTH ASSOC |
| 0012598 | Other | NY | FIDELIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 046843 (New York) | Primary |
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