| St Marks Place Dentistry Pc | |
|
1244 Dutch Broadway Valley Stream NY 11580-1513 | |
| (212) 475-8692 | |
| Not Available |
| Full Name | St Marks Place Dentistry Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1244 Dutch Broadway, Valley Stream, New York |
| Authorized Official Name and Position | I Michael Postol (PRESIDENT) |
| Authorized Official Contact | 2124758692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Marks Place Dentistry Pc 70 Saint Marks Pl New York NY 10003-8150 Ph: (212) 475-8692 | St Marks Place Dentistry Pc 1244 Dutch Broadway Valley Stream NY 11580-1513 Ph: (212) 475-8692 |
| NPI Number | 1518140789 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 12/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518140789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 028630 (New York) | Primary |
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