| Astoria Modern Family Dental Pllc | |
|
3156 Steinway St Astoria NY 11103-3909 | |
| (718) 721-4700 | |
| (718) 204-5641 |
| Full Name | Astoria Modern Family Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3156 Steinway St, Astoria, New York |
| Authorized Official Name and Position | James R Gelfand (MANAGING MEMBER) |
| Authorized Official Contact | 7187214700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Astoria Modern Family Dental Pllc 3156 Steinway St Astoria NY 11103-3909 Ph: (718) 721-4700 | Astoria Modern Family Dental Pllc 3156 Steinway St Astoria NY 11103-3909 Ph: (718) 721-4700 |
| NPI Number | 1952443442 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952443442 | NPI | - | NPPES |
| 02744310 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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