Hollywood Orthodontics Pc- | |
9438 60th Ave Elmhurst NY 11373-5070 | |
(718) 595-0050 | |
Not Available |
Full Name | Hollywood Orthodontics Pc- |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 9438 60th Ave, Elmhurst, New York |
Authorized Official Name and Position | Peter Evan Feibish (OWNER) |
Authorized Official Contact | 7185950050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hollywood Orthodontics Pc- 9438 60th Ave Elmhurst NY 11373-5070 Ph: (718) 595-0050 | Hollywood Orthodontics Pc- 9438 60th Ave Elmhurst NY 11373-5070 Ph: (718) 595-0050 |
NPI Number | 1386065597 |
---|---|
Provider Enumeration Date | 12/16/2013 |
Last Update Date | 12/16/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386065597 | NPI | - | NPPES |
02958643 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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