Astoria Dental Studio, P.c. | |
3018 31st Ave Astoria NY 11106-2405 | |
(718) 545-7046 | |
Not Available |
Full Name | Astoria Dental Studio, P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 3018 31st Ave, Astoria, New York |
Authorized Official Name and Position | Lena Sapozhnikoff (PRESIDENT) |
Authorized Official Contact | 7185457046 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Astoria Dental Studio, P.c. 3018 31st Ave Astoria NY 11106-2405 Ph: (718) 545-7046 | Astoria Dental Studio, P.c. 3018 31st Ave Astoria NY 11106-2405 Ph: (718) 545-7046 |
NPI Number | 1588949804 |
---|---|
Provider Enumeration Date | 10/18/2011 |
Last Update Date | 01/10/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588949804 | NPI | - | NPPES |
03238213 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 054200 (New York) | Primary |
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