Michael Baleno, | |
1950 S Clinton Ave, Rochester, NY 14618 | |
(585) 461-4350 | |
Not Available |
Full Name | Michael Baleno |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 1950 S Clinton Ave, Rochester, 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 |
---|---|---|---|
1952500514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 18117 (Florida) | Secondary |
1223G0001X | Dentist - General Practice | 054808 (New York) | Primary |
Entity Name | Elmwood Dental Group - Implant And Restoration Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245349109 PECOS PAC ID: 3779834791 Enrollment ID: O20181001001861 |
Mailing Address | Practice Location Address |
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Michael Baleno, 1950 S Clinton Ave, Rochester, NY 14618-5620 Ph: (585) 461-4350 | Michael Baleno, 1950 S Clinton Ave, Rochester, NY 14618 Ph: (585) 461-4350 |
Dr. Niaz Ahmed, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1425 Portland Ave, Rochester, NY 14621 Phone: 585-922-4000 | |
Ahmed Alsayed, Dentist Medicare: Not Enrolled in Medicare Practice Location: 625 Elmwood Ave, Rochester, NY 14620 Phone: 585-275-5051 | |
Dorota Kopycka-kedzierawski, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 625 Elmwood Ave, Box 683, Rochester, NY 14620 Phone: 585-275-0706 | |
Dr. Andrew Joseph Dvonch, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2425 Clover St, Rochester, NY 14618 Phone: 585-461-2040 Fax: 585-473-1747 | |
Iswara Parvathaneni, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2255 Ridge Rd E, Rochester, NY 14622 Phone: 585-544-8220 Fax: 585-544-8577 | |
Richard A Bastiano, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 3333 W Henrietta Rd, Rochester, NY 14623 Phone: 585-427-0400 | |
Dr. Chhaya A Sangave, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2119 Buffalo Road, Rochester, NY 14624 Phone: 585-247-1961 Fax: 585-247-1961 |