Vk Dental Care, Pc | |
10310 Roosevelt Ave 2nd Floor Corona NY 11368-2330 | |
(718) 779-2626 | |
Not Available |
Full Name | Vk Dental Care, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 10310 Roosevelt Ave, Corona, New York |
Authorized Official Name and Position | Vivek Kashyap (PRESIDENT) |
Authorized Official Contact | 7187792626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vk Dental Care, Pc Po Box 1957 New York NY 10159-1957 Ph: (718) 779-2626 | Vk Dental Care, Pc 10310 Roosevelt Ave 2nd Floor Corona NY 11368-2330 Ph: (718) 779-2626 |
NPI Number | 1528057643 |
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Provider Enumeration Date | 10/20/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528057643 | NPI | - | NPPES |
02559020 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 051552 (New York) | Primary |
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