Long Island Dentist, Pc | |
70 Glen St Ste 240 Glen Cove NY 11542-2859 | |
(516) 759-0086 | |
Not Available |
Full Name | Long Island Dentist, Pc |
---|---|
Speciality | Dentist |
Location | 70 Glen St Ste 240, Glen Cove, New York |
Authorized Official Name and Position | Mariya Malin (OWNER) |
Authorized Official Contact | 7183722800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Long Island Dentist, Pc 2250 86th St 2nd Floor Brooklyn NY 11214-4139 Ph: (718) 372-2800 | Long Island Dentist, Pc 70 Glen St Ste 240 Glen Cove NY 11542-2859 Ph: (516) 759-0086 |
NPI Number | 1538521703 |
---|---|
Provider Enumeration Date | 03/25/2016 |
Last Update Date | 03/14/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538521703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 053295 (New York) | Primary |
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