| South Amityville Dental | |
|
200 Albany Ave Amityville NY 11701-2501 | |
| (631) 842-0300 | |
| Not Available |
| Full Name | South Amityville Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 200 Albany Ave, Amityville, New York |
| Authorized Official Name and Position | Erick S. Trivedi (DENTIST) |
| Authorized Official Contact | 6318420300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Amityville Dental 200 Albany Ave Amityville NY 11701-2501 Ph: (631) 842-0300 | South Amityville Dental 200 Albany Ave Amityville NY 11701-2501 Ph: (631) 842-0300 |
| NPI Number | 1801068903 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 03/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801068903 | NPI | - | NPPES |
| 02220693 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 049545 (New York) | Primary |
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