99-04 57th Avenue, Inc. - Dental Clinic in Corona, NY

99-04 57th Avenue, Inc. is a dental clinic (Clinic/center - Dental) in Corona, New York. The current practice location for 99-04 57th Avenue, Inc. is 9904 57th Ave, Suite Lh, Corona, New York. For appointments, you can reach them via phone at (718) 760-0471. The mailing address for 99-04 57th Avenue, Inc. is 9904 57th Ave, Suite Lh, Corona, New York and phone number is (718) 760-0471.

99-04 57th Avenue, Inc. is licensed to practice in New York (license number 0438701) and its NPI number is 1679977680. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (718) 760-0471.

Contact Information

99-04 57th Avenue, Inc.
9904 57th Ave
Suite Lh
Corona
NY 11368-3746
(718) 760-0471
(718) 760-4739

Dental Care Clinic Profile

Full Name99-04 57th Avenue, Inc.
SpecialityClinic/center - Dental
Location9904 57th Ave, Corona, New York
Authorized Official Name and PositionMaria E Acebo (OWNER)
Authorized Official Contact7187600471
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
99-04 57th Avenue, Inc.
9904 57th Ave
Suite Lh
Corona
NY 11368-3746

Ph: (718) 760-0471
99-04 57th Avenue, Inc.
9904 57th Ave
Suite Lh
Corona
NY 11368-3746

Ph: (718) 760-0471

NPI Details:

NPI Number1679977680
Provider Enumeration Date10/20/2014
Last Update Date10/20/2014

Medical Identifiers

Medical identifiers for 99-04 57th Avenue, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679977680NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QD0000XClinic/center - Dental 0438701 (New York)Primary

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