| Samina Haque Dmd Pllc | |
|
25012 Hillside Ave Ste A Bellerose NY 11426-2139 | |
| (718) 343-0900 | |
| (718) 343-0901 |
| Full Name | Samina Haque Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25012 Hillside Ave Ste A, Bellerose, New York |
| Authorized Official Name and Position | Samina Haque (DENTIST) |
| Authorized Official Contact | 7183430900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samina Haque Dmd Pllc 119 Ingraham Ln New Hyde Park NY 11040-4275 Ph: (646) 884-4094 | Samina Haque Dmd Pllc 25012 Hillside Ave Ste A Bellerose NY 11426-2139 Ph: (718) 343-0900 |
| NPI Number | 1033738414 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 04/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033738414 | NPI | - | NPPES |
| 02709066 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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