| Roosevelt Orthodontics | |
|
4003 National St Corona NY 11368-2320 | |
| (718) 458-9000 | |
| Not Available |
| Full Name | Roosevelt Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4003 National St, Corona, New York |
| Authorized Official Name and Position | Michael Kalimian (OWNER) |
| Authorized Official Contact | 7184589000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roosevelt Orthodontics 4003 National St Corona NY 11368-2320 Ph: (718) 458-9000 | Roosevelt Orthodontics 4003 National St Corona NY 11368-2320 Ph: (718) 458-9000 |
| NPI Number | 1912256678 |
|---|---|
| Provider Enumeration Date | 09/09/2012 |
| Last Update Date | 09/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912256678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 050586 (New York) | Primary |
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