| Wallstreet Dental P.c. | |
|
3159 Carman Rd Schenectady NY 12303-4550 | |
| (518) 370-1202 | |
| (518) 370-1955 |
| Full Name | Wallstreet Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3159 Carman Rd, Schenectady, New York |
| Authorized Official Name and Position | Vinodkumar D Nagpal (PRESIDENT) |
| Authorized Official Contact | 5183701202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallstreet Dental P.c. 3159 Carman Rd Schenectady NY 12303-4550 Ph: (518) 370-1202 | Wallstreet Dental P.c. 3159 Carman Rd Schenectady NY 12303-4550 Ph: (518) 370-1202 |
| NPI Number | 1982805461 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982805461 | NPI | - | NPPES |
| 00411101 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 034558 (New York) | Primary |
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