Dental & Family Medical Center

NPI 1013096767 - Clinic/Center - 261Q00000X

NPI Details
NPI 1013096767
Enumeration Date 11/03/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEAN E. JEAN
Position PEDIATRICIAN
Phone (718) 417-4769
Fax
Practice Location
1507 DEKALB AVE
BROOKLYN NY, 11237-3634, US
Phone (718) 417-4769
Fax
Business Location
76 SUNNYSIDE LN
WESTBURY NY, 11590-2823, US
Phone (516) 338-1701
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State New York
License Number 192901
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According to our database, Dental & Family Medical Center NPI is 1013096767, taxonomy code is 261Q00000X and license number is 192901, license state is located at New York. Dental & Family Medical Center physically located at 1507 Dekalb Ave, Brooklyn NY, 11237-3634. NPI Number 1033115704 has the healthcare provider type.

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1013096767 NPI number is provided on an as is basis without warranty of any kind. 1013096767 is maintained by the National Plan & Provider Enumeration System. The contents of Dental & Family Medical Center are for informational purposes only.