Brenda Richardson, DDS | |
819 S Salina St, Syracuse, NY 13202-3536 | |
(315) 476-7921 | |
(315) 474-1448 |
Full Name | Brenda Richardson |
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Gender | Female |
Speciality | Dentist |
Location | 819 S Salina St, Syracuse, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093772634 | NPI | - | NPPES |
02218431 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 048507 (New York) | Primary |
Entity Name | Syracuse Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497796353 PECOS PAC ID: 0143121327 Enrollment ID: O20040120000443 |
Mailing Address | Practice Location Address |
---|---|
Brenda Richardson, DDS 251 Salina Meadows Pkwy, Suite 100, Syracuse, NY 13212-4584 Ph: (315) 464-2096 | Brenda Richardson, DDS 819 S Salina St, Syracuse, NY 13202-3536 Ph: (315) 476-7921 |
Jennifer Lonnen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 750 E. Adams Street, Syracuse, NY 13210 Phone: 315-464-4148 | |
Filofteia Badila, DDS Dentist Medicare: Medicare Enrolled Practice Location: 819 S Salina St, Syracuse, NY 13202 Phone: 315-476-7921 Fax: 315-475-1448 | |
Kelvin O. White, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1700 James St, Syracuse, NY 13206 Phone: 315-478-9928 | |
Dr. Joan Lura Armstrong, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 437 Allen St, Syracuse, NY 13210 Phone: 315-422-3307 | |
Dr. Jeffrey Brian Stannard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1001 E Genesee St, Syracuse, NY 13210 Phone: 315-478-1001 Fax: 315-471-1683 | |
Dr. Navid Rashidi Keikanloo, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 2800 Court St, Syracuse, NY 13208 Phone: 315-455-5934 Fax: 315-455-5935 | |
Dr. Michael Burke Mcgrath, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5108 Velasko Rd, Syracuse, NY 13215 Phone: 315-478-5719 Fax: 315-478-5734 |