| Staten Island Smiles At The Pavillion | |
|
1887 Richmond Ave Suite 4 Staten Island NY 10314-3923 | |
| (718) 761-5600 | |
| (718) 761-7966 |
| Full Name | Staten Island Smiles At The Pavillion |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1887 Richmond Ave, Staten Island, New York |
| Authorized Official Name and Position | Joseph T Mormino (DENTIST) |
| Authorized Official Contact | 7187615600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Staten Island Smiles At The Pavillion 1887 Richmond Ave Staten Island NY 10314-3923 Ph: (718) 761-5600 | Staten Island Smiles At The Pavillion 1887 Richmond Ave Suite 4 Staten Island NY 10314-3923 Ph: (718) 761-5600 |
| NPI Number | 1821228164 |
|---|---|
| Provider Enumeration Date | 07/21/2009 |
| Last Update Date | 07/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821228164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 042434 (New York) | Primary |
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