South Amityville Dental | |
200 Albany Ave Amityville NY 11701-2501 | |
(631) 842-0300 | |
Not Available |
Full Name | South Amityville Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 200 Albany Ave, Amityville, New York |
Authorized Official Name and Position | Erick S. Trivedi (DENTIST) |
Authorized Official Contact | 6318420300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South Amityville Dental 200 Albany Ave Amityville NY 11701-2501 Ph: (631) 842-0300 | South Amityville Dental 200 Albany Ave Amityville NY 11701-2501 Ph: (631) 842-0300 |
NPI Number | 1801068903 |
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Provider Enumeration Date | 03/28/2008 |
Last Update Date | 03/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801068903 | NPI | - | NPPES |
02220693 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 049545 (New York) | Primary |
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