St Marks Place Dentistry Pc | |
1244 Dutch Broadway Valley Stream NY 11580-1513 | |
(212) 475-8692 | |
Not Available |
Full Name | St Marks Place Dentistry Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1244 Dutch Broadway, Valley Stream, New York |
Authorized Official Name and Position | I Michael Postol (PRESIDENT) |
Authorized Official Contact | 2124758692 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St Marks Place Dentistry Pc 70 Saint Marks Pl New York NY 10003-8150 Ph: (212) 475-8692 | St Marks Place Dentistry Pc 1244 Dutch Broadway Valley Stream NY 11580-1513 Ph: (212) 475-8692 |
NPI Number | 1518140789 |
---|---|
Provider Enumeration Date | 12/11/2007 |
Last Update Date | 12/11/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518140789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 028630 (New York) | Primary |
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