Toothtimedentalstudiopc | |
414 Jericho Tpke Suit #2 New Hyde Park NY 11040-4510 | |
(516) 519-8080 | |
(516) 519-8082 |
Full Name | Toothtimedentalstudiopc |
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Speciality | Dentist - General Practice |
Location | 414 Jericho Tpke, New Hyde Park, New York |
Authorized Official Name and Position | Sejal U Shah (PRESIDENT) |
Authorized Official Contact | 5155198080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Toothtimedentalstudiopc Po Box 81 Albertson Albertson NY 11507-0081 Ph: (516) 519-8080 | Toothtimedentalstudiopc 414 Jericho Tpke Suit #2 New Hyde Park NY 11040-4510 Ph: (516) 519-8080 |
NPI Number | 1144568601 |
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Provider Enumeration Date | 01/17/2013 |
Last Update Date | 01/17/2013 |
Identifier | Type | State | Issuer |
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1144568601 | NPI | - | NPPES |
02145619 | Medicaid | NY |
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