Esopus Dental, Pc | |
105 Woodcrest Drive Rifton NY 12471 | |
(845) 658-8131 | |
Not Available |
Full Name | Esopus Dental, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 105 Woodcrest Drive, Rifton, New York |
Authorized Official Name and Position | Josef Loewenthal (VICE PRESIDENT) |
Authorized Official Contact | 8454817014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Esopus Dental, Pc 10 Hellbrook Lane Ulster Park NY 12487 Ph: (845) 481-7014 | Esopus Dental, Pc 105 Woodcrest Drive Rifton NY 12471 Ph: (845) 658-8131 |
NPI Number | 1508885898 |
---|---|
Provider Enumeration Date | 07/18/2006 |
Last Update Date | 01/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508885898 | NPI | - | NPPES |
02532218 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 52863 (New York) | Primary |
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