| Smile New York Outreach Llc | |
|
3100 47th Ave Long Island City NY 11101-3013 | |
| (718) 361-6160 | |
| (718) 361-1660 |
| Full Name | Smile New York Outreach Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3100 47th Ave, Long Island City, New York |
| Authorized Official Name and Position | Elliot Paul Schlang (DENTAL DIRECTOR) |
| Authorized Official Contact | 8888338441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile New York Outreach Llc 3100 47th Ave Long Island City NY 11101-3013 Ph: (718) 361-6160 | Smile New York Outreach Llc 3100 47th Ave Long Island City NY 11101-3013 Ph: (718) 361-6160 |
| NPI Number | 1063794618 |
|---|---|
| Provider Enumeration Date | 09/09/2011 |
| Last Update Date | 09/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063794618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7003272R (New York) | Primary |
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