Northern City Dental, P.c. | |
714 Beach 20th St Far Rockaway NY 11691-3502 | |
(917) 476-6161 | |
Not Available |
Full Name | Northern City Dental, P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 714 Beach 20th St, Far Rockaway, New York |
Authorized Official Name and Position | Anna Rabichev (PRESIDENT) |
Authorized Official Contact | 9174766161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northern City Dental, P.c. 714 Beach 20th St Far Rockaway NY 11691-3502 Ph: (917) 476-6161 | Northern City Dental, P.c. 714 Beach 20th St Far Rockaway NY 11691-3502 Ph: (917) 476-6161 |
NPI Number | 1366770232 |
---|---|
Provider Enumeration Date | 12/03/2009 |
Last Update Date | 12/03/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366770232 | NPI | - | NPPES |
1013052455 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 0441781 (New York) | Primary |
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