Wisdom Tooth Of Lindenhurst | |
600d N Wellwood Ave Lindenhurst NY 11757 | |
(631) 225-1900 | |
(631) 225-1904 |
Full Name | Wisdom Tooth Of Lindenhurst |
---|---|
Speciality | Dentist |
Location | 600d N Wellwood Ave, Lindenhurst, New York |
Authorized Official Name and Position | Michael H Kantrowitz (OWNER) |
Authorized Official Contact | 6312251900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wisdom Tooth Of Lindenhurst 600d N Wellwood Ave Lindenhurst NY 11757 Ph: (631) 225-1900 | Wisdom Tooth Of Lindenhurst 600d N Wellwood Ave Lindenhurst NY 11757 Ph: (631) 225-1900 |
NPI Number | 1013184605 |
---|---|
Provider Enumeration Date | 05/13/2008 |
Last Update Date | 05/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013184605 | NPI | - | NPPES |
00632820 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 035654 (New York) | Primary |
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