| Frederick J Schrank Estate | |
|
763 Montauk Hwy West Islip NY 11795-4900 | |
| (631) 587-0953 | |
| (631) 587-1055 |
| Full Name | Frederick J Schrank Estate |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 763 Montauk Hwy, West Islip, New York |
| Authorized Official Name and Position | June Schrank (OWNER) |
| Authorized Official Contact | 6319798583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick J Schrank Estate 4 Tide Mill Rd Saint James NY 11780-9626 Ph: (631) 979-8583 | Frederick J Schrank Estate 763 Montauk Hwy West Islip NY 11795-4900 Ph: (631) 587-0953 |
| NPI Number | 1699287870 |
|---|---|
| Provider Enumeration Date | 10/28/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699287870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0278531 (New York) | Primary |
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