| Sia N. Hersini, Dmd, Pc | |
|
404 William St Suite D Geneva NY 14456-2143 | |
| (315) 789-9054 | |
| (315) 781-1297 |
| Full Name | Sia N. Hersini, Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 404 William St, Geneva, New York |
| Authorized Official Name and Position | Sia N Hersini (CEO) |
| Authorized Official Contact | 3157899054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sia N. Hersini, Dmd, Pc 404 William St Suite D Geneva NY 14456-2143 Ph: (315) 789-9054 | Sia N. Hersini, Dmd, Pc 404 William St Suite D Geneva NY 14456-2143 Ph: (315) 789-9054 |
| NPI Number | 1699807362 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699807362 | NPI | - | NPPES |
| 02146138 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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