| Frederick J. Marra, D.m.d. Pllc | |
|
100 Main St Cohoes NY 12047-4404 | |
| (518) 237-0019 | |
| (518) 237-5461 |
| Full Name | Frederick J. Marra, D.m.d. Pllc |
|---|---|
| Speciality | Dentist |
| Location | 100 Main St, Cohoes, New York |
| Authorized Official Name and Position | Diane M Ward (OFFICE MGR.) |
| Authorized Official Contact | 5182370019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick J. Marra, D.m.d. Pllc 100 Main St Cohoes NY 12047-4404 Ph: (518) 237-0019 | Frederick J. Marra, D.m.d. Pllc 100 Main St Cohoes NY 12047-4404 Ph: (518) 237-0019 |
| NPI Number | 1679627897 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 06/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679627897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 035737 (New York) | Primary |
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› Verified 5 days ago
David Mitola, D.d.s., L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Remsen St, Cohoes, NY 12047 Phone: 518-237-0700 |