Dr. Miryem Kandinov D.d.s Pc | |
123-60 83 Ave Suite 2w Kew Gardens NY 11415 | |
(718) 261-6310 | |
(718) 261-1085 |
Full Name | Dr. Miryem Kandinov D.d.s Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 123-60 83 Ave, Kew Gardens, New York |
Authorized Official Name and Position | Miryem Kandinov (OWNER) |
Authorized Official Contact | 7182616310 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. Miryem Kandinov D.d.s Pc 123-60 83 Ave Suite 2w Kew Gardens NY 11415 Ph: (718) 261-6310 | Dr. Miryem Kandinov D.d.s Pc 123-60 83 Ave Suite 2w Kew Gardens NY 11415 Ph: (718) 261-6310 |
NPI Number | 1003087008 |
---|---|
Provider Enumeration Date | 03/18/2008 |
Last Update Date | 03/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003087008 | NPI | - | NPPES |
01474033 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 045011 (New York) | Primary |
News Archive
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