4th Avenue Dental Pc

NPI 1356580914 - Dentist - 1223G0001X

NPI Details
NPI 1356580914
Enumeration Date 02/05/2009
Last Updated 02/05/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Phone (914) 664-5342
Fax (718) 275-3049
Practice Location
157 S 4TH AVE
MOUNT VERNON NY, 10550-3106, US
Phone (914) 664-5342
Fax (718) 275-3049
Business Location
11033 64TH AVE
FOREST HILLS NY, 11375-1428, US
Phone (917) 886-4568
Fax (718) 275-3049
Taxonomy Code 1223G0001X
License State New York
License Number 036630
Remove 1356580914 NPI Number

According to our database, 4th Avenue Dental Pc NPI is 1356580914, taxonomy code is 1223G0001X and license number is 036630, license state is located at New York. 4th Avenue Dental Pc physically located at 157 S 4th Ave, Mount Vernon NY, 10550-3106. NPI Number 1033115704 has the healthcare provider type.

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1356580914 NPI number is provided on an as is basis without warranty of any kind. 1356580914 is maintained by the National Plan & Provider Enumeration System. The contents of 4th Avenue Dental Pc are for informational purposes only.