Carle Place Dental, P.c. | |
407 E Jericho Tpke Carle Place NY 11514-1027 | |
(516) 747-8150 | |
(516) 747-8152 |
Full Name | Carle Place Dental, P.c. |
---|---|
Speciality | Dentist |
Location | 407 E Jericho Tpke, Carle Place, New York |
Authorized Official Name and Position | Ali John Jazayeri (PRESIDENT) |
Authorized Official Contact | 9175281092 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carle Place Dental, P.c. 407 E Jericho Tpke Carle Place NY 11514-1027 Ph: (516) 747-8150 | Carle Place Dental, P.c. 407 E Jericho Tpke Carle Place NY 11514-1027 Ph: (516) 747-8150 |
NPI Number | 1255688974 |
---|---|
Provider Enumeration Date | 08/13/2012 |
Last Update Date | 08/13/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255688974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 053328 (New York) | Primary |
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