| Full Name | Manor Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 66 Covert Ave, Garden City, New York |
| Authorized Official Name and Position | Cassandra Teutsch (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manor Dental 66 Covert Ave Garden City NY 11530-3826 Ph: (516) 775-2330 | Manor Dental 66 Covert Ave Garden City NY 11530-3826 Ph: (516) 775-2330 |
| NPI Number | 1033637921 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033637921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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