Quisqueya Dental | |
11310 Jamaica Ave Richmond Hill NY 11418-2440 | |
(718) 847-8807 | |
(718) 847-9464 |
Full Name | Quisqueya Dental |
---|---|
Speciality | Dentist |
Location | 11310 Jamaica Ave, Richmond Hill, New York |
Authorized Official Name and Position | Manuel A Hernandez (DENTIST) |
Authorized Official Contact | 7188478807 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Quisqueya Dental 11310 Jamaica Ave Richmond Hill NY 11418-2440 Ph: (718) 847-8807 | Quisqueya Dental 11310 Jamaica Ave Richmond Hill NY 11418-2440 Ph: (718) 847-8807 |
NPI Number | 1780870261 |
---|---|
Provider Enumeration Date | 09/19/2007 |
Last Update Date | 10/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780870261 | NPI | - | NPPES |
02579899 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 051596-1 (New York) | Primary |
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