Schenectady Oral And Maxillofacial Surgery Associates | |
2141 Eastern Pkwy Schenectady NY 12309-6347 | |
(518) 372-2859 | |
(518) 370-5983 |
Full Name | Schenectady Oral And Maxillofacial Surgery Associates |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2141 Eastern Pkwy, Schenectady, New York |
Authorized Official Name and Position | Theresa M Duval (OFFICE MANAGER) |
Authorized Official Contact | 5183722859 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Schenectady Oral And Maxillofacial Surgery Associates 2141 Eastern Pkwy Schenectady NY 12309-6347 Ph: (518) 372-2859 | Schenectady Oral And Maxillofacial Surgery Associates 2141 Eastern Pkwy Schenectady NY 12309-6347 Ph: (518) 372-2859 |
NPI Number | 1124115373 |
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Provider Enumeration Date | 10/09/2006 |
Last Update Date | 07/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124115373 | NPI | - | NPPES |
01471952 | Medicaid | NY | |
00550087 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 034224 (New York) | Primary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 044618 (New York) | Secondary |
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