Beach View Dental Pc | |
711b Seagirt Ave Far Rockaway NY 11691-5730 | |
(718) 471-3366 | |
(718) 471-3366 |
Full Name | Beach View Dental Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 711b Seagirt Ave, Far Rockaway, New York |
Authorized Official Name and Position | Lilly Samuel (OFFICE MANAGER) |
Authorized Official Contact | 7184713366 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beach View Dental Pc 711b Seagirt Ave Far Rockaway NY 11691-5730 Ph: (718) 471-3366 | Beach View Dental Pc 711b Seagirt Ave Far Rockaway NY 11691-5730 Ph: (718) 471-3366 |
NPI Number | 1063628832 |
---|---|
Provider Enumeration Date | 05/16/2007 |
Last Update Date | 12/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063628832 | NPI | - | NPPES |
02631267 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 02631267 (New York) | Primary |
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