| Elite New York Dental | |
|
4305 48th Ave Woodside NY 11377-6241 | |
| (347) 420-9490 | |
| (201) 963-3805 |
| Full Name | Elite New York Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4305 48th Ave, Woodside, New York |
| Authorized Official Name and Position | Mark Mehrdad Hagigi (PRESIDENT) |
| Authorized Official Contact | 3474209490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite New York Dental 43-05 48th Ave Woodside NY 11377-6241 Ph: (347) 420-9490 | Elite New York Dental 4305 48th Ave Woodside NY 11377-6241 Ph: (347) 420-9490 |
| NPI Number | 1174769970 |
|---|---|
| Provider Enumeration Date | 12/29/2008 |
| Last Update Date | 12/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174769970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 053887-1 (New York) | Primary |
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