Rockaway Dental P.c. | |
8609 Rockaway Beach Blvd Rockaway Beach NY 11693-1613 | |
(718) 318-1250 | |
(718) 318-1956 |
Full Name | Rockaway Dental P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 8609 Rockaway Beach Blvd, Rockaway Beach, New York |
Authorized Official Name and Position | Lev Trostyanetsky (PRESIDENT) |
Authorized Official Contact | 7183181250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rockaway Dental P.c. 8609 Rockaway Beach Blvd Rockaway Beach NY 11693-1613 Ph: (718) 318-1250 | Rockaway Dental P.c. 8609 Rockaway Beach Blvd Rockaway Beach NY 11693-1613 Ph: (718) 318-1250 |
NPI Number | 1477668739 |
---|---|
Provider Enumeration Date | 08/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477668739 | NPI | - | NPPES |
02724321 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 044190 (New York) | Primary |
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