Acosta And Raider Llc | |
888 Route 6 Mahopac NY 10541-6201 | |
(845) 628-3700 | |
(845) 628-3010 |
Full Name | Acosta And Raider Llc |
---|---|
Speciality | Dentist |
Location | 888 Route 6, Mahopac, New York |
Authorized Official Name and Position | Mark E Raider (DENTIST/OWNER) |
Authorized Official Contact | 6175048712 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Acosta And Raider Llc 888 Route 6 Mahopac NY 10541-6201 Ph: (845) 628-3700 | Acosta And Raider Llc 888 Route 6 Mahopac NY 10541-6201 Ph: (845) 628-3700 |
NPI Number | 1528364551 |
---|---|
Provider Enumeration Date | 02/09/2011 |
Last Update Date | 02/02/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528364551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 50052961 (New York) | Primary |
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