Vasos Eracleous, Dds | |
2917 Astoria Blvd Astoria NY 11102-1741 | |
(718) 728-5759 | |
(718) 204-8786 |
Full Name | Vasos Eracleous, Dds |
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Speciality | Clinic/center - Dental |
Location | 2917 Astoria Blvd, Astoria, New York |
Authorized Official Name and Position | Vasos Eracleous (PRESIDENT/ DOCTOR) |
Authorized Official Contact | 7187285759 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vasos Eracleous, Dds 2917 Astoria Blvd Astoria NY 11102-1741 Ph: (718) 728-5759 | Vasos Eracleous, Dds 2917 Astoria Blvd Astoria NY 11102-1741 Ph: (718) 728-5759 |
NPI Number | 1760994347 |
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Provider Enumeration Date | 11/03/2017 |
Last Update Date | 11/03/2017 |
Identifier | Type | State | Issuer |
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1760994347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 50191 (New York) | Primary |
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