| Allcity Cosmetic Dental Care, Pc | |
|
17 Walt Whitman Rd Suite 5 Huntington Station NY 11746-3610 | |
| (631) 351-1222 | |
| Not Available |
| Full Name | Allcity Cosmetic Dental Care, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17 Walt Whitman Rd, Huntington Station, New York |
| Authorized Official Name and Position | Boris Yusupov (PRESIDENT) |
| Authorized Official Contact | 6313511222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allcity Cosmetic Dental Care, Pc 17 Walt Whitman Rd Suite 5 Huntington Station NY 11746-3610 Ph: (631) 351-1222 | Allcity Cosmetic Dental Care, Pc 17 Walt Whitman Rd Suite 5 Huntington Station NY 11746-3610 Ph: (631) 351-1222 |
| NPI Number | 1366673857 |
|---|---|
| Provider Enumeration Date | 07/31/2009 |
| Last Update Date | 07/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366673857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 050130 (New York) | Primary |
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