| Advanced Hylan Dental,pc | |
|
2691 Hylan Blvd Staten Island NY 10306-4300 | |
| (718) 987-3365 | |
| (718) 668-0183 |
| Full Name | Advanced Hylan Dental,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2691 Hylan Blvd, Staten Island, New York |
| Authorized Official Name and Position | Diane Bertuzzi (PRACTICE MANAGER) |
| Authorized Official Contact | 8453046110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Hylan Dental,pc 2691 Hylan Blvd Staten Island NY 10306-4300 Ph: (718) 987-3365 | Advanced Hylan Dental,pc 2691 Hylan Blvd Staten Island NY 10306-4300 Ph: (718) 987-3365 |
| NPI Number | 1114062254 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114062254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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