| Correctional Dental Associates Of New York | |
|
4904 19th Ave Astoria NY 11105-1002 | |
| (347) 774-7800 | |
| (718) 777-7820 |
| Full Name | Correctional Dental Associates Of New York |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4904 19th Ave, Astoria, New York |
| Authorized Official Name and Position | Leslie Ambrose Hayling (PRESIDENT) |
| Authorized Official Contact | 3477747800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Correctional Dental Associates Of New York 4904 19th Ave Astoria NY 11105-1002 Ph: (347) 774-7800 | Correctional Dental Associates Of New York 4904 19th Ave Astoria NY 11105-1002 Ph: (347) 774-7800 |
| NPI Number | 1609210178 |
|---|---|
| Provider Enumeration Date | 04/26/2013 |
| Last Update Date | 04/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609210178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 051827-1 (New York) | Primary |
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