Albany Upstate Dental Pc | |
540 Broadway 100 Albany NY 12207-2708 | |
(518) 465-0808 | |
(518) 465-1450 |
Full Name | Albany Upstate Dental Pc |
---|---|
Speciality | Dentist |
Location | 540 Broadway, Albany, New York |
Authorized Official Name and Position | Tariq Pasha Malik (OWNER / DENTIST) |
Authorized Official Contact | 5184650808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Albany Upstate Dental Pc 540 Broadway 100 Albany NY 12207-2708 Ph: (518) 465-0808 | Albany Upstate Dental Pc 540 Broadway 100 Albany NY 12207-2708 Ph: (518) 465-0808 |
NPI Number | 1457772931 |
---|---|
Provider Enumeration Date | 12/30/2013 |
Last Update Date | 12/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457772931 | NPI | - | NPPES |
1811906563 | Other | NY | SOLE PROPERITER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 050817 (New York) | Primary |
News Archive
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