| Woolley Dental Pllc | |
|
386 Woolley Avenue Staten Island NY 10314-2154 | |
| (718) 494-6060 | |
| (718) 494-8214 |
| Full Name | Woolley Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 386 Woolley Avenue, Staten Island, New York |
| Authorized Official Name and Position | Maysa K Aziz (DENTIST) |
| Authorized Official Contact | 7184946060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woolley Dental Pllc 386 Woolley Avenue Staten Island NY 10314-2154 Ph: (718) 494-6060 | Woolley Dental Pllc 386 Woolley Avenue Staten Island NY 10314-2154 Ph: (718) 494-6060 |
| NPI Number | 1780898627 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 12/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780898627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0430541 (New York) | Primary |
| 122300000X | Dentist | 042457 (New York) | Secondary |
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