Full Name | Dr. I Dental Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 8610 Grand Ave, Elmhurst, New York |
Authorized Official Name and Position | Emmanuil Ilyayev (DENTIST) |
Authorized Official Contact | 6315178166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. I Dental Pc 8610 Grand Ave 1b Elmhurst NY 11373 Ph: (631) 517-8166 | Dr. I Dental Pc 8610 Grand Ave 1b Elmhurst NY 11373 Ph: (631) 517-8166 |
NPI Number | 1053819318 |
---|---|
Provider Enumeration Date | 01/31/2018 |
Last Update Date | 01/31/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053819318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 058141 (New York) | Primary |
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