| Your Syracuse Family Dentist P.c. | |
|
4627 Onondaga Blvd Syracuse NY 13219-3301 | |
| (315) 477-9960 | |
| Not Available |
| Full Name | Your Syracuse Family Dentist P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4627 Onondaga Blvd, Syracuse, New York |
| Authorized Official Name and Position | Joseph Meluni (PARTNER/DENTIST) |
| Authorized Official Contact | 3154779960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Syracuse Family Dentist P.c. 4627 Onondaga Blvd Syracuse NY 13219-3301 Ph: (315) 477-9960 | Your Syracuse Family Dentist P.c. 4627 Onondaga Blvd Syracuse NY 13219-3301 Ph: (315) 477-9960 |
| NPI Number | 1275367765 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275367765 | NPI | - | NPPES |
| 1235261173 | Other | NY | CMS ISSUED |
| 1871117184 | Other | NY | CMS ISSUED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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