5b105strdentalpc | |
5 Beach 105th St Rockaway Park NY 11694-2699 | |
(718) 474-0007 | |
(718) 474-0004 |
Full Name | 5b105strdentalpc |
---|---|
Speciality | Dentist |
Location | 5 Beach 105th St, Rockaway Park, New York |
Authorized Official Name and Position | Joanna Kowalewski (DENTIST) |
Authorized Official Contact | 7184740007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5b105strdentalpc 5 Beach 105th St Rockaway Park NY 11694-2699 Ph: (718) 474-0007 | 5b105strdentalpc 5 Beach 105th St Rockaway Park NY 11694-2699 Ph: (718) 474-0007 |
NPI Number | 1306052618 |
---|---|
Provider Enumeration Date | 05/15/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306052618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 046206-1 (New York) | Primary |
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Smile Masters Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11412 Beach Channel Dr Ste 4, Rockaway Park, NY 11694 Phone: 718-924-2091 | |
Rockaway Beach Orthodontics, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11412 Beach Channel Dr Ste 4, Rockaway Park, NY 11694 Phone: 718-924-2091 |