Geetha Balamurugan,d.d.s.,p.c. | |
116 Broadway Amityville NY 11701-2797 | |
(631) 264-2610 | |
(631) 264-2612 |
Full Name | Geetha Balamurugan,d.d.s.,p.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 116 Broadway, Amityville, New York |
Authorized Official Name and Position | Geetha Balamurugan (PRESIDENT) |
Authorized Official Contact | 6312642610 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Geetha Balamurugan,d.d.s.,p.c. 116 Broadway Amityville NY 11701-2797 Ph: (631) 264-2610 | Geetha Balamurugan,d.d.s.,p.c. 116 Broadway Amityville NY 11701-2797 Ph: (631) 264-2610 |
NPI Number | 1275735185 |
---|---|
Provider Enumeration Date | 06/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275735185 | NPI | - | NPPES |
02249278 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 049539-1 (New York) | Primary |
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