| Newyorkave Dental Pc | |
|
1395 New York Ave Huntington Station NY 11746-1705 | |
| (163) 138-5565 | |
| Not Available |
| Full Name | Newyorkave Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 1395 New York Ave, Huntington Station, New York |
| Authorized Official Name and Position | Nuzhat Haroon Siddiqui (OWNER) |
| Authorized Official Contact | 6313855650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newyorkave Dental Pc 20 Overbrook Ln Glen Head NY 11545-2737 Ph: (631) 385-5650 | Newyorkave Dental Pc 1395 New York Ave Huntington Station NY 11746-1705 Ph: (163) 138-5565 |
| NPI Number | 1679997456 |
|---|---|
| Provider Enumeration Date | 02/13/2014 |
| Last Update Date | 02/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679997456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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