| Stanley Landsman Dds Pc | |
|
6565 Wetherole St Rego Park NY 11374-4764 | |
| (718) 897-4545 | |
| Not Available |
| Full Name | Stanley Landsman Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6565 Wetherole St, Rego Park, New York |
| Authorized Official Name and Position | Stanley Landsman (PRESIDENT) |
| Authorized Official Contact | 7188974545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley Landsman Dds Pc 6565 Wetherole St Rego Park NY 11374 Ph: (718) 897-4545 | Stanley Landsman Dds Pc 6565 Wetherole St Rego Park NY 11374-4764 Ph: (718) 897-4545 |
| NPI Number | 1295909562 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295909562 | NPI | - | NPPES |
| 1223000004 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 24068 (New York) | Primary |
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