Dr Edward Stephen Kondak, DDS is a
Dentist - General Practice based in Greenport, New York. Dr Edward Stephen Kondak is licensed to practice in New York (license number 035632) and his current practice location is
135 3rd St, 19-20 Sterlington Commons, Greenport, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 477-1177.
NPI number for Dr Edward Stephen Kondak is 1134324254 and his current mailing address is Po Box 98, Greenport, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134324254.
Healthcare Provider's Profile
| Full Name | Dr Edward Stephen Kondak |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 135 3rd St, Greenport, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134324254
- Provider Enumeration Date: 06/19/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Edward Stephen Kondak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134324254 | NPI | - | NPPES |
| 00632866 | Medicaid | NC | |
| 035632 | Other | NY | LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 035632 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edward Stephen Kondak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Edward Stephen Kondak, DDS
Po Box 98,
Greenport, NY 11944-0098
Ph: (631) 477-1177 | Dr Edward Stephen Kondak, DDS
135 3rd St, 19-20 Sterlington Commons,
Greenport, NY 11944-1640
Ph: (631) 477-1177 |
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